Sunil Kripalani|Terry A. Jacobson|Ileko C. Mugalla|Courtney Cawthon|Kurt Niesner|Viola Vaccarino
Health literacy and the quality of physician?patient communication during hospitalization
Vanderbilt University|Emory University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Emory University
abstract background overall poor physicianpatient communication related postdischarge adverse events readmission analyzed patients ratings quality physicianpatient communication hospitalization varies health literacy methods medical patients interviewed hospitalization assess personal characteristics health literacy discharge patients completed telephone 27item interpersonal processes care diverse populations questionnaire ipc using ipc patients rated clarity quality physicians communication hospitalization along following 8 domains general clarity responsiveness patient concerns explanation patients problems explanation processes care explanation selfcare discharge empowerment decision making consideration patients desire ability comply recommendations results total 84 patients completed inhospital telephone interviews subjects mean age 55 44 inadequate health literacy overall patients gave poorest ratings communication related consideration patients desire ability comply recommendations patients inadequate health literacy gave significantly worse ratings domains general clarity responsiveness patient concerns explanation processes care p lt 005 multivariable analyses relationship general clarity persist conclusions physicians received relatively poor ratings consideration patients desire ability comply recommendations patients inadequate health literacy experienced lower quality clarity hospital communication along multiple domains attention effective health communication warranted hospital setting journal hospital medicine 20105269275 2010 society hospital medicine