Kathryn Goggins|Kenneth A. Wallston|Samuel K. Nwosu|Jonathan S. Schildcrout|Liana D. Castel|Sunil Kripalani|for the Vanderbilt Inpatient Cohort
Health Literacy, Numeracy, and Other Characteristics Associated With Hospitalized Patients' Preferences for Involvement in Decision Making
Vanderbilt Health|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt University Medical Center
little research examined association health literacy numeracy patients preferred involvement problemsolving decisionmaking process hospital using sample 1249 patients hospitalized cardiovascular disease vanderbilt inpatient cohort study vics assessed patients preferred level involvement using responses two scenarios differing symptom severity problemsolving decisionmaking scale using multivariable modeling determined relationship health literacy subjective numeracy patient characteristics preferences involvement decisions differed scenario authors found patients higher levels health literacy desired participation problemsolving decisionmaking process patients higher subjective numeracy skills greater educational attainment female gender less perceived social support greater health care system distrust p 05 predictor multivariable models patients also preferred participate decisionmaking process hypothetical symptom experiencing less severe ie deferred physician hypothetical symptom severe findings underscore role patient characteristics especially health literacy numeracy play decisional preferences among hospitalized patients