Discrepancy Between Patient Health Literacy Levels and Readability of Patient Education Materials from an Electronic Health Record
| Autor: | Erik Levinsohn, Benjamin A. Howell, Cassie Pan, Omoye E. Imoisili, Julie R. Rosenbaum, Shoshana Streiter |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
MEDLINE Health literacy Primary care patient education materials 01 natural sciences primary care 03 medical and health sciences 0302 clinical medicine Electronic health record medicine 030212 general & internal medicine 0101 mathematics Medical diagnosis Grade level business.industry lcsh:Public aspects of medicine Brief Report 010102 general mathematics lcsh:RA1-1270 electronic health record General Medicine Readability Family medicine readability business health literacy Patient education |
| Zdroj: | Health Literacy Research and Practice Health Literacy Research and Practice, Vol 1, Iss 4, Pp e203-e207 (2017) |
| ISSN: | 2474-8307 |
| Popis: | Limited health literacy is associated with worse health outcomes. It is standard practice in many primary care clinics to provide patients with written patient education materials (PEM), which often come directly from an electronic health record (EHR). We compared the health literacy of patients in a primary care residency clinic with EHR PEM readability by grade level. We assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF), and determined grade level readability for the PEM distributed for the five most common clinical diagnoses using the Simple Measure of Gobbledygook (SMOG) and Flesch-Kincaid metrics. Among 175 participants, health literacy was ≥9th grade for 76 patients (43.4%), 7th to 8th grade for 66 patients (37.7%), and ≤6th grade for 30 patients (17.1%). Average standard PEM readability by SMOG was grade 9.2 and easy-to-read PEM readability was grade 6.8. These findings suggest a discrepancy between the health literacy of most patients who were surveyed and standard PEM readability. Despite national guidelines encouraging clinicians to provide PEM at an appropriate reading level, our results indicate that PEM from EHR may not be readable for many patients. [ Health Literacy Research and Practice . 2017;1(4):e203–e207.] |
| Databáze: | OpenAIRE |
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