Cesar M Castro1, Clifford Wilson, Frances Wang, Dean Schillinger. 1. Department of Medicine, University of California, San Francisco/ Center for Vulnerable Populationns, San Francisco General Hospital, San Francisco, CA, USA. Cesar.Castro@ucsf.edu
Abstract
OBJECTIVE: To describe physicians use of jargon with diabetes patients with limited health literacy. METHODS: We audiotaped 74 outpatient encounters and coded unclarified jargon, assigning each term a clinical function. We administered telephone questionnaires to determine if comprehension of diabetes-related jargon varied with context. RESULTS: Eighty-one percent of encounters contained at least one unclarified jargon term (mean of 4/visit). Thirty-seven percent of jargon use occurred when making recommendations, and 29% when providing health education. Patient comprehension rates were generally low and never reached adequate thresholds. CONCLUSION: Physicians caring for patients with limited health literacy employ unclarified jargon during key clinical functions.
OBJECTIVE: To describe physicians use of jargon with diabetespatients with limited health literacy. METHODS: We audiotaped 74 outpatient encounters and coded unclarified jargon, assigning each term a clinical function. We administered telephone questionnaires to determine if comprehension of diabetes-related jargon varied with context. RESULTS: Eighty-one percent of encounters contained at least one unclarified jargon term (mean of 4/visit). Thirty-seven percent of jargon use occurred when making recommendations, and 29% when providing health education. Patient comprehension rates were generally low and never reached adequate thresholds. CONCLUSION: Physicians caring for patients with limited health literacy employ unclarified jargon during key clinical functions.
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