Gildàsio S. De Oliveira|Martin F. Errea|Jane M. Bialek|Mark C. Kendall|Robert J. McCarthy
The impact of health literacy on shared decision making before elective surgery: a propensity matched case control analysis
Brown University|Providence College|Northwestern University|University of Illinois at Chicago|Brown University|Providence College|Rush University Medical Center
poor health literacy affects 90 million americans primary aim study evaluate possible association health literacy decision conflict surgical patients patients undergoing diverse number elective surgeries enrolled study health literacy measured using newest vital sign instrument decision conflict using low literacy version decision conflict scale 200 patients undergoing elective surgeries included study patients greater health literacy scores lower decision conflict scores spearmans rho 043 p 0001 following propensityscore matching account potential covariates median iqr decision conflict score 20 0 40 patients poor health literacy compared 0 0 5 patients adequate literacy p 0001 poor health literacy associated greater decision conflict patients undergoing elective surgical procedures strategies implemented minimize decision conflict poor health literacy patients undergoing elective surgical procedures