Lefan Liu, Jing Huang, Guoxing Li, Zhuo Chen, Tianfeng He
The economic costs of limited health literacy in China: evidence from China's National Health Literacy Surveillance data
BMC health services research
1 background internal medicine im resident physicians need trained care older adults transition safely across care settings objective study purpose evaluate efficacy curriculum geriatrics assessment communication skills transitions care tocs im resident physicians 2 methods im residents rotated 4 weeks geriatrics consult service large public teaching hospital received didactic lectures clinical experience consultation transitional care curriculum designed meet consensus guidelines minimum geriatrics competencies expected im residents previously validated published assessment tools used geriatrics knowledge attitudes locally developed tools used directly observe rate communication skills selfassess geriatrics assessment health literacy skills curriculum evaluated using quasiexperimental nonrandomized singlegroup pre posttest observational design data 31 subjects collected 18 months analyzed using mixedeffects models 3 results average knowledge scores improved 65 74 9 95 ci 413 p 0001 communication skills improved average 115 points 95 ci 066164 p 0001 9point scale attitudes change significantly selfrated confidence geriatrics assessment health literacy skills improved modestly 4 conclusions curriculum effective teaching basic geriatrics knowledge communication skills increasing selfconfidence geriatrics assessment skills settings inpatient geriatrics consult service feasible curriculum may model combining geriatrics toc training