scholarly journals Critical Health Literacy and Doctor-Patient Communication: Highlighting the Role of Patients’ Support Networks in Chronic Conditions

Author(s):  
Dennis Butto ◽  
Hellen Mberia ◽  
Julius Bosire
2021 ◽  
Vol 13 (2) ◽  
pp. 195-211
Author(s):  
Maja Nordtug ◽  
Jane Ege Møller ◽  
Signe Schlichting Matthiesen ◽  
Matilde Nisbeth Brøgger

It is well-known that non-verbal cues are essential in doctor–patient communication. As doctor–patient communication is turning increasingly digital and written, it becomes relevant to explore the role of non-verbal cues in such communication genres. One more recent genre is the doctor–patient e-mail consultation. Research has found that while patients like e-mail consultations, they also miss facial expressions, eye contact, etc. In this study, we explored the different ways in which Danish GPs use non-verbal cues in e-mail consultations. We analysed 633 e-mail consultations written by 22 GPs. We applied the concept of oralization, which includes the use of emoticons and non-standard use of grammar and spatial arrangement. We found that the dominant types of oralizations were non-corrected spelling errors and lack of attention to capitalization. Overall, GPs used a limited number of other non-verbal cues. We discuss how these findings relate to norms of formality and professional context.


2014 ◽  
Vol 96 (6) ◽  
pp. e9-e13 ◽  
Author(s):  
S Kyle ◽  
D Shaw

Patients who understand their injuries, the aims and potential of their treatment are likely to experience superior outcomes. We review the literature on positive, encouraging doctor–patient communication, and the impact of health literacy and education on patient knowledge in medicine and surgery, with a particular emphasis on orthopaedic surgery. We also highlight methods of improving doctor–patient communication and patient knowledge.


2016 ◽  
Vol 23 (8) ◽  
pp. 693-700 ◽  
Author(s):  
Abdullah Kashgary ◽  
Roaa Alsolaimani ◽  
Mahmoud Mosli ◽  
Samer Faraj

Introduction In the last few years, the use of telecommunication and mobile technology has grown significantly. This has led to a notable increase in the utilization of this telecommunication in healthcare, namely phone calls and text messaging (SMS). However, evaluating its global impact on improving healthcare processes and outcomes demands a more comprehensive assessment. In this study, we focused on the role of mobile devices via phone calls and SMS in patient–doctor communication, and aimed to assess its impact on various health outcomes. Methods Major databases, including MEDLINE, EMBASE, PsycINFO, Global Health, and Cochrane CENTRAL, were searched for clinical trials that investigated mobile-device technology in any facet of doctor–patient communication published between 1990 and April 2015. A meta-analysis was performed where appropriate. Results Sixty-two articles met our inclusion criteria. Of those, 23 articles investigated mobile appointment reminder technologies, 19 investigated medication adherence, 20 investigated disease-control interventions, and two investigated test-result reporting. Patients who received an appointment reminder were 10% less likely to miss an appointment (relative risk [RR] = 1.11, 95% confidence interval [CI] 1.08–1.15). Mobile interventions increased medication adherence by 22% (RR = 1.22, 95% CI 1.09–1.36). Ten of 20 studies examining disease control reported statistically significant reductions in clinically meaningful endpoints. The use of mobile-device interventions improved forced expiratory volume in one second and hemoglobin A1c percentage in meta-analyses. Conclusion The use of mobile-device technologies exerted modest improvements in communication and health outcomes. Further research is needed to determine the true effect of these technologies on doctor–patient communication.


2011 ◽  
Vol 26 (12) ◽  
pp. 1458-1464 ◽  
Author(s):  
Walid F. Gellad ◽  
Haiden A. Huskamp ◽  
Angela Li ◽  
Yuting Zhang ◽  
Dana Gelb Safran ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Zillmann ◽  
H Novosad ◽  
U Hübel

Abstract The concept of health literate health care organisation (HLHO) was introduced in 2012. Organisational health literacy is defined as an effort to transform and develop organisations (in the health sector) to enable users and employees to navigate, understand and use information and services to take care of their health. To support hospitals and long-term care facilities in Vienna to become HLHO the Vienna health promotion (WiG) has set up a project (2017 - 2021) with 11 pilot units from 5 care institutions. Starting with an interprofessional self-assessment tool (SAT) on HLHO, most modules, like employee and patient/next of kin empowerment, trainings to improve the quality of staff-patient communication as well as workshops on health literacy are being carried out concurrently and similarly by all pilot units. In addition, pilot units implement local organisational development projects addressing issues identified in their SAT. As part of process monitoring pilot unit project leads meet regularly in workshops to discuss their learnings and project progress. Preliminary results show that health literacy workshops in participating institutions are well-received, also the joined learning in the regular project lead workshops. Many employees in the participating institutions took part in project-associated evaluation measures. Communication trainings were very popular, especially the use of simulated patients was rated highly. Project impact on doctor-patient-communication is currently being evaluated. Health literacy workshops seem appropriate to sensitise employees for the importance of patient-staff communication, but are challenging in terms of organisation. The SAT was considered useful to approach the topic of HLHO, but was perceived as somewhat lengthy. The interprofessional approach to the SAT could be a barrier for some institutions. Developing handouts in cooperation with persons concerned can be challenging but is highly gainful. Key messages As result of this project the 11 participating pilot units are one step closer to becoming HLHO. The concept of HLHO seems useful in improving health literacy.


Author(s):  
Ruth Koops van ‘t Jagt ◽  
Shu Ling Tan ◽  
John Hoeks ◽  
Sophie Spoorenberg ◽  
Sijmen A. Reijneveld ◽  
...  

Older adults often have limited health literacy and experience difficulties in communicating about their health. In view of the need for efficacious interventions, we compared a narrative photo story booklet regarding doctor-patient communication with a non-narrative but otherwise highly similar brochure. The photo story booklet included seven short picture-based stories about themes related to doctor-patient communication. The non-narrative brochure had comparable pictures and layout and dealt with the same themes, but it did not include any stories. We conducted two Randomized Controlled Trials (RCTs) among older adults with varying levels of health literacy: one RCT in Germany (N = 66) and one RCT in the Netherlands (N = 54); the latter one was followed by an in-depth interview study among a subset of the participants (81.5%; n = 44). In the RCTs, we did not find significant differences between the photo story booklet and the non-narrative brochure. In the interview study, a majority of the participants expressed a preference for the photo story booklet, which was perceived as recognizable, relevant, entertaining and engaging. We conclude that photo story booklets are a promising format but that there is room for improving their effectiveness.


Author(s):  
Thomas Abel ◽  
David McQueen

Summary In the current COVID-19 pandemic the active participation of the public is of central importance, however, certain factors found in this new pandemic disease complicates the participation. Addressing these complications needs public health and health promotion experts to understand the role of critical health literacy in a pandemic. We present the case for a definition of critical health literacy in a pandemic, CHL-P. We suggest that CHL-P can help professionals to support individuals and communities as agents for effectively dealing with the unique features of this pandemic.


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