Inadequate functional health leteracy among patients at two public hospitals.
- To determine the ability of patients to complete successfully basic reading and numeracy tasks required to function adequately in the health care setting.
- Cross-sectional survey.
- Two urban, public hospitals.
- A total of 2659 predominantly indigent and minority patients, 1892 English-speaking and 767 Spanish-speaking, presenting for acute care.
Main Outcome Measure
- Functional health literacy as measured by the Test of Functional Health Literacy in Adults (TOFHLA), an instrument that measures ability to read and understand medical instructions and health care information presented in prose passages and passages containing numerical information (eg, prescription bottle labels and appointment slips).
- A high proportion of patients were unable to read and understand written basic medical instructions.
Of 2659 patients, 1106 (41.6%) were unable to comprehend directions for taking medication on an empty stomach, 691 (26%) were unable to understand information regarding when a next appointment is scheduled, and 1582 (59.5%) could not understand a standard informed consent document.
- Many patients at our institutions cannot perform the basic reading tasks required to function in the health care environment.
Inadequate health literacy may be an important barrier to patients'understanding of their diagnoses and treatments, and to receiving high-quality care.
Mots-clés Pascal : Analphabétisme, Facteur risque, Défaut, Compréhension, Instruction, Médecine, Soin santé primaire, Epidémiologie, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Illiteracy, Risk factor, Defect, Comprehension, Instruction, Medicine, Primary health care, Epidemiology, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0040418
Code Inist : 002B30A01A2. Création : 01/03/1996.