Grabeel Kelsey L, Burton Sarah E, Heidel R Eric, Chamberlin Shauntá M, Wilson Alexandria Q
Preston Medical Library/Health Information Center, University of Tennessee Graduate School of Medicine/University of Tennessee Medical Center, Knoxville, TN, USA.
Department of Library and Information Science, University of North Carolina at Greensboro (UNCG), Greensboro, NC, USA.
J Patient Exp. 2023 Dec 11;10:23743735231219361. doi: 10.1177/23743735231219361. eCollection 2023.
Researchers examined the correlation between the physician's subjective assessment of health literacy rates and actual health literacy rates among patients as determined by the Newest Vital Sign (NVS). A sample of n = 150 patients, 18 years of age or older, were verbally interviewed using NVS tool before seeing their physician. After the physician met with the patient, the physician was asked to measure that patient's level of health literacy on a Likert-type scale and a "yes/no" scale. Frequency and percentage statistics were performed in SPSS to describe the distributions of patient and physician responses. Between-subjects statistics were used. Analysis of the patient surveys revealed one in 4 patients has a high likelihood of low health literacy. Analysis revealed there were significant positive correlations between physician response to perception of a patient's low health literacy risk and NVS survey responses. Despite the risk of limited literacy, 97.3% of physicians perceived the patient to understand what the physician was saying. Physicians should use teach-back and other health literacy principles with each patient, regardless of perceived risk.
研究人员考察了医生对健康素养率的主观评估与通过最新生命体征（NVS）测定的患者实际健康素养率之间的相关性。选取了n = 150名18岁及以上的患者作为样本，在他们看医生之前，使用NVS工具对其进行了口头访谈。在医生与患者会面后，要求医生用李克特量表和“是/否”量表来衡量该患者的健康素养水平。在SPSS中进行频率和百分比统计，以描述患者和医生回答的分布情况。采用了组间统计方法。对患者调查的分析显示，四分之一的患者极有可能健康素养较低。分析表明，医生对患者低健康素养风险认知的回答与NVS调查回答之间存在显著的正相关。尽管存在读写能力有限的风险，但97.3%的医生认为患者理解了医生所说的内容。无论感知到的风险如何，医生都应该对每位患者运用反馈教学法及其他健康素养原则。
