Collins Nina, Novotny Nancy L, Light Amy
Family and Consumer Sciences, Bradley University, 1501 W. Bradley, Peoria, IL 61625, USA.
J Allied Health. 2006 Winter;35(4):223-5.
The Health Information Portability and Accountability Act (HIPAA) regulations require that agencies provide authorizations that can be read and understood. Agencies are responsible to comply with this regulation. It is estimated that half of Americans read at an eighth-grade reading level. All institutional review boards (IRBs) listed on the website of the U.S. Department of Health and Human Services were contacted by investigators in this study. Fifty-one IRBs returned HIPAA templates on which readability tests could be completed. Three readability tests were used on all templates, including the Flesch Reading Ease formula, the Dale-Chall formula, and the Fry formula. For the returned templates, the mean of the Dale-Chall readability formula gave a ninth-grade level; the mean scores for the Flesch Reading Ease and Fry formulas were at a high-school reading level or above. The readability scores ranged from sixth-grade to college graduate. This study demonstrates that HIPAA authorization forms are written at too high a level for most of the population. Based on the results of this study and other similar studies, it can be concluded that consumers/patients are currently being asked to read important health-related documents that may be beyond their reading level.
《健康保险流通与责任法案》(HIPAA)规定,机构需提供易于阅读和理解的授权文件。机构有责任遵守该规定。据估计,一半美国人的阅读水平为八年级。本研究的调查人员联系了美国卫生与公众服务部网站上列出的所有机构审查委员会(IRB)。51个IRB返回了可完成可读性测试的HIPAA模板。所有模板都使用了三种可读性测试,包括弗莱什易读性公式、戴尔-查尔公式和弗莱公式。对于返回的模板,戴尔-查尔可读性公式的平均水平为九年级;弗莱什易读性公式和弗莱公式的平均得分处于高中阅读水平或以上。可读性分数范围从六年级到大学毕业生水平。这项研究表明,HIPAA授权表格的书写水平对大多数人来说过高。基于本研究及其他类似研究的结果,可以得出结论,目前要求消费者/患者阅读的重要健康相关文件可能超出了他们的阅读水平。