Physician overestimation of patient literacy: A potential source of health care disparities
Physician overestimation of patient literacy: A potential source of health care disparities
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DOI：
10.1016/j.pec.2006.10.007
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发表时间：
2007-04-01
影响因子：
3.5
通讯作者：
Haidet, Paul
中科院分区：
文献类型：
--
作者：
Kelly, P. Adam;Haidet, Paul
目的：调查初级保健环境中医生对患者识字水平的高估。方法：研究样本包括12名非学术初级保健医生和来自德克萨斯州休斯敦美国退伍军人事务部医院的100名患者。使用成人医学识字快速评估(领域)对患者识字水平进行了1-4级的测量。医生对每个患者的识字水平进行相应的评分。结果：患者领域水平与患者种族、民族、性别之间无统计学意义。医生高估了54%的非裔美国人，11%的非西班牙裔白人和36%的其他种族/民族患者的文化水平(P<；.01)。结论：医生通常高估了患者的识字水平，这显然在少数族裔患者中更常见，尤其是非裔美国人，而不是非西班牙裔白人患者。这种对患者识字水平估计的不一致可能是卫生保健方面差异的一个来源。(C)2006爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: To investigate physician overestimation of patient literacy level in a primary care setting.Methods: The study sample consisted of 12 non-academic primary care physicians and 100 patients from a U.S. Department of Veterans Affairs Hospital in Houston, Texas. Patient literacy level was measured on a 1-4 scale using the Rapid Estimate of Adult Literacy in Medicine (REALM). Physicians rated each patient's literacy level on a corresponding scale. Chi-square was used to test for association of patient race/ ethnicity and gender with: (1) patient REALM level and (2) discrepancy between patient REALM level and physician rating of patient literacy level.Results: Patient REALM level was not statistically significantly associated with patient race/ethnicity or gender. Physicians overestimated the REALM level for 54% of African American, 11% of white non-Hispanic, and 36% of other race/ethnicity patients (p < .01).Conclusion: Physicians commonly overestimate patients' literacy levels, and this apparently occurs more often with minority patients, and particularly with African Americans, than with white non-Hispanic patients. This discordance in estimation of patient's literacy level may be a source of disparities in health care. (c) 2006 Elsevier Ireland Ltd. All rights reserved.