Abdul-Wahid Mohammed, Yang Xu, Ming Liu
Knowledge-oriented semantics modelling towards uncertainty reasoning
SpringerPlus
patients recall comprehend little half physicians convey outpatient encounter enhance recall comprehension adherence recommended physicians elicit patients comprehension new concepts tailor subsequent information particularly patients low functional health literacy known frequently physicians apply interactive educational strategy whether associated improved health outcomeswe used direct observation measure extent primary care physicians working public hospital assess patient recall comprehension new concepts outpatient encounters using audiotapes visits 38 physicians 74 englishspeaking patients diabetes mellitus low functional health literacy examined whether association physicians application interactive communication strategy patients glycemic control using information clinical administrative databasesphysicians assessed recall comprehension new concept 12 20 61 visits 15 12 124 new concepts patients whose physicians assessed recall comprehension likely hemoglobin a1c levels mean 86 vs patients whose physicians odds ratio 896 95 confidence interval 11749 p 02 multivariate logistic regression 2 variables independently associated good glycemic control higher health literacy levels odds ratio 397 95 confidence interval 1091447 p 04 physicians application interactive communication strategy odds ratio 1515 95 confidence interval 20711078 p01primary care physicians caring patients diabetes mellitus low functional health literacy rarely assessed patient recall comprehension new concepts overlooking step communication reflects missed opportunity may important clinical implications