A. Arthur Safiya|Hanah R. Geiser|Kimberly R. Jacob Arriola|Sunil Kripalani
Health Literacy and Control in the Medical Encounter: A Mixed-Methods Analysis
Emory University|Emory University|Emory University|Vanderbilt University
physicianpatient communication described according 4 prototypes controlpaternalism mutuality consumerism default patients inadequate health literacy skills may lessactive participants care likely paternalistic encounters two independent coders analyzed 31 transcribed outpatient medical visits physicians african american patients diabetes according 4 prototypes control differences communication balance power level patients health literacy analyzed quantitative qualitative methods fourteen patients 45 inadequate health literacy n8 57 paternalistic encounters among patients marginal adequate health literacy skills 4 23 paternalistic visits p 06 encounters marked mutuality common n 9 53 patients inadequate health literacy appear likely paternalistic interactions physicians