Patient comprehension of breast pathology report terminology: The need for patient-centered resources
Patient comprehension of breast pathology report terminology: The need for patient-centered resources
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DOI：
10.1016/j.surg.2022.05.007
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发表时间：
2022-08-13
期刊：
影响因子：
3.8
通讯作者：
Tevis, Sarah E.
中科院分区：
文献类型：
--
作者：
Verosky, Alexandra;Leonard, Laura D.;Tevis, Sarah E.
背景资料：随着医疗保健不断向信息透明化方向发展，越来越多的患者可以访问他们的医疗记录，包括最初并非面向患者的结果报告。以往的研究表明，患者对医学术语的理解较差。然而，患者对乳腺病理学报告特定术语的理解尚未得到很好的研究。我们评估了患者对乳腺病理报告中常见医学术语的理解。方法：一项调查是以电子方式管理的患者安排在一个多站点的医疗保健系统的筛查乳房X光检查。参与者被要求客观地定义和解释乳腺活检病理报告中常见的8个医学术语。还评估了患者对各种教育工具效用的感知。收集人口统计学信息，包括健康素养，教育水平，既往癌症诊断和主要语言。结果：共有527名患者完成了调查。包括“恶性”和“良性”在内的术语的正确定义率分别为80%和73%，而只有1%正确定义了“高级别”。“包括种族/民族和教育水平在内的因素与更正确的分数相关。患者更喜欢针对其诊断的教育工具，并且在他们审查结果时可用。结论：患者对常用医学术语的理解较差。基于患者因素（包括教育、既往病史和职业）的潜在理解假设是错误的。随着新规定的立即向患者发布信息，迫切需要开发和整合教育工具，以支持患者通过其护理的各个方面。(c)2022爱思唯尔公司All rights reserved.
Background: As health care continues to evolve toward information transparency, an increasing number of patients have access to their medical records, including result reports that were not originally designed to be patient-facing. Previous studies have demonstrated that patients have poor under-standing of medical terminology. However, patient comprehension of terminology specific to breast pathology reports has not been well studied. We assessed patient understanding of common medical terms found in breast pathology reports. Methods: A survey was administered electronically to patients scheduled for a screening mammogram within a multisite health care system. Participants were asked to objectively define and interpret 8 medical terms common to breast biopsy pathology reports. Patient perception of the utility of various educational tools was also assessed. Demographic information including health literacy, education level, previous cancer diagnosis, and primary language was collected. Results: In total, 527 patients completed the survey. Terms including "malignant" and "benign" were the most correctly defined at 80% and 73%, respectively, whereas only 1% correctly defined "high grade." Factors including race/ethnicity and education level were correlated with more correct scores. Patients preferred educational tools that were specific to their diagnosis and available at the time they were reviewing their results. Conclusion: Patient comprehension of common medical terminology is poor. Potential assumptions of understanding based on patient factors including education, past medical history, and occupation are misinformed. With the newly mandated immediate release of information to patients, there is a pressing need to develop and integrate educational tools to support patients through all aspects of their care. (c) 2022 Elsevier Inc. All rights reserved.