Physicians' communication of Down syndrome screening test results: The influence of physician numeracy
Physicians' communication of Down syndrome screening test results: The influence of physician numeracy
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DOI：
10.1097/gim.0b013e31821a370f
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发表时间：
2011-08-01
影响因子：
8.8
通讯作者：
Schulkin, Jay
中科院分区：
文献类型：
--
作者：
Anderson, Britta L.;Obrecht, Natalie A.;Schulkin, Jay
目的：我们调查了三个问题：(1)妇产科医生如何沟通阳性和阴性检测结果？(2)在报告筛查结果时，妇产科医生是使用定量信息还是定性信息？(3)医生的计算能力（即使用和理解数字的能力）与定量或定性信息的使用有关吗？方法：203名美国妇产科医师（回复率55.6%）对唐氏综合征筛查结果、客观算术量表和主观算术量表的沟通情况进行调查。结果：主观算术量表得分越高，年龄越小，预示着妇产科医生使用数字来解释测试结果。客观计算能力量表不能预测数字的使用。性别与主观算术量表（r = 0.2）和主观算术量表-能力子量表（r = 0.3）的得分相关，在控制年龄的情况下，男性得分高于女性。开放式问题显示，沟通策略各不相同，大约三分之一的妇产科医生提供数字信息，频率格式是常用的数字格式。结论：尽管医生在低健康素养的问题上经常被忽视，但我们继续调查医生计算能力对患者护理的影响是很重要的。中华医学杂志，2011,13(8):744-749。
Purpose: We investigated three questions: (1) How do obstetrician-gynecologists communicate positive and negative test results? (2) When reporting screening test results, do obstetrician-gynecologists use quantitative or qualitative information? and (3) Is physician numeracy (i.e., the ability to use and understand numbers) associated with use of quantitative or qualitative information? Method: Obstetrician-gynecologists (N = 203; 55.6% response rate) who were members of the American College of Obstetricians and Gynecologists completed a survey about their communication of Down syndrome screening test results, an Objective Numeracy Scale, and the Subjective Numeracy Scale. Results: Higher scores on the Subjective Numeracy Scale and younger age predicted obstetrician-gynecologists' use of numbers to explain testing results. The Objective Numeracy Scale did not predict use of numbers. Gender was correlated with scores on the Subjective Numeracy Scale (r = 0.2) and the Subjective Numeracy Scale-Ability Subscale (r = 0.3), with men scoring higher than women when controlling for age. Open-ended questions revealed that communication strategies vary, with approximately one in three obstetrician-gynecologists providing numerical information, and frequency format being the commonly used numerical format. Conclusion: Although physicians are often overlooked in the problem of low health literacy, it is important that we continue to investigate the impact of physician numeracy on patient care. Genet Med 2011: 13(8): 744-749.