Hirono Ishikawa|Eiji Yano|Shin Fujimori|Makoto Kinoshita|Toshikazu Yamanouchi|Masahiro Yoshikawa|Yoshihiko Yamazaki|Tamio Teramoto
Patient health literacy and patient-physician information exchange during a visit
Shiga University of Medical Science|Ministère de la Santé et de l'Hygiène Publique|Teikyo University|Teikyo University|Teikyo University|University of Tokyo Health Sciences|University of Tokyo Health Sciences|Teikyo University
background health literacy hl capacity individuals access understand use health information make informed appropriate healthrelated decisions recognized important concept patient education disease management objective examine relation three levels hl ie functional communicative critical hl patientphysician information exchange visit methods participants 134 outpatients type 2 diabetes continuous care four attending physicians universityaffiliated hospital visit communication recorded analysed using roter interaction analysis system patient hl measured selfreported questionnaire using newly developed selfrated scales functional communicative critical hl sociodemographic clinical characteristics patients perception information exchange assessed patient selfreported questionnaires review electronic medical records results patient hl levels related information exchange process visit among three hl scales communicative hl capacity extract information derive meaning different forms communication apply new information changing circumstances related patients perceptions information exchange patient communicative hl modifying effect relationship physicians information giving patients perception suggesting physicians communication may perceived differently depending patients hl conclusion exploration patient hl may provide better understanding potential barriers patientphysician communication patients selfmanagement disease