Socioeconomic Status, Statistical Confidence, and Patient-Provider Communication: An Analysis of the Health Information National Trends Survey (HINTS 2007)
Socioeconomic Status, Statistical Confidence, and Patient-Provider Communication: An Analysis of the Health Information National Trends Survey (HINTS 2007)
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DOI：
10.1080/10810730.2010.522690
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发表时间：
2010-01-01
影响因子：
4.4
通讯作者：
von Wagner, Christian
中科院分区：
文献类型：
--
作者：
Smith, Samuel G.;Wolf, Michael S.;von Wagner, Christian
寻求健康咨询的患者越来越多地接触数字信息，这有可能对患者与提供者的关系产生不利影响，特别是在识字和计算能力低的个人中。我们使用HINTS 2007提供了第一个将统计学置信度（作为主观计算能力的标志）与人口统计学变量和健康相关结局（在这种情况下，患者-提供者互动的质量）联系起来的大规模研究。一个由7,674人组成的队列回答了社会人口统计学问题，一个关于他们对理解医疗统计数据有多自信的问题，一个关于风险沟通中单词或数字偏好的问题，以及一个衡量患者与提供者互动质量的问题。超过37%（37.4%）的人对自己理解医疗统计的能力缺乏信心。这在老年人、低收入、低教育程度和非白人少数民族群体中尤为普遍。缺乏统计学信心的人表现出明显的偏好，以文字而不是数字呈现基于风险的信息，并且在控制性别，种族，保险状况，常规医疗保健专业人员的存在和电话采访的语言后，67%的人更有可能经历糟糕的患者-提供者互动。我们将讨论我们的研究结果对卫生保健专业人员的影响。
The increasing trend of exposing patients seeking health advice to numerical information has the potential to adversely impact patient-provider relationships especially among individuals with low literacy and numeracy skills. We used the HINTS 2007 to provide the first large scale study linking statistical confidence (as a marker of subjective numeracy) to demographic variables and a health-related outcome (in this case the quality of patient-provider interactions). A cohort of 7,674 individuals answered sociodemographic questions, a question on how confident they were in understanding medical statistics, a question on preferences for words or numbers in risk communication, and a measure of patient-provider interaction quality. Over thirty-seven percent (37.4%) of individuals lacked confidence in their ability to understand medical statistics. This was particularly prevalent among the elderly, low income, low education, and non-White ethnic minority groups. Individuals who lacked statistical confidence demonstrated clear preferences for having risk-based information presented with words rather than numbers and were 67% more likely to experience a poor patient-provider interaction, after controlling for gender, ethnicity, insurance status, the presence of a regular health care professional, and the language of the telephone interview. We will discuss the implications of our findings for health care professionals.