Abstract:
BACKGROUND:Many patient education materials (PEMs) available on the internet are written at high school or college reading levels, rendering them inaccessible to the average US resident, who reads at or below an 8(th) grade level. Currently, electronic health record (EHR) providers partner with companies that produce PEMs, allowing clinicians to access PEMs at the point of care. OBJECTIVE:To assess the readability of PEMs provided by a popular EHR vendor as well as the National Library of Medicine (NLM). DESIGN:We included PEMs from Micromedex, EBSCO, and MedlinePlus. Micromedex and EBSCO supply PEMs to Meditech, a popular EHR supplier in the US. MedlinePlus supplies the NLM. These PEM databases have high market penetration and accessibility. MEASUREMENTS:Grade reading level of the PEMs was calculated using three validated indices: Simple Measure of Gobbledygook (SMOG), Gunning Fog (GFI), and Flesch-Kincaid (FKI). The percentage of documents above target readability and average readability scores from each database were calculated. RESULTS:We randomly sampled 100 disease-matched PEMs from three databases (n = 300 PEMs). Depending on the readability index used, 30-100% of PEMs were written above the 8(th) grade level. The average reading level for MedlinePlus, EBSCO, and Micromedex PEMs was 10.2 (1.9), 9.7 (1.3), and 8.6 (0.9), respectively (p ≤ 0.000) as estimated by the GFI. Estimates of readability using SMOG and FKI were similar. CONCLUSIONS:The majority of PEMS available through the NLM and a popular EHR were written at reading levels considerably higher than that of the average US adult.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Stossel LM,Segar N,Gliatto P,Fallar R,Karani Rdoi
10.1007/s11606-012-2046-0subject
Has Abstractpub_date
2012-09-01 00:00:00pages
1165-70issue
9eissn
0884-8734issn
1525-1497journal_volume
27pub_type
杂志文章,随机对照试验abstract:BACKGROUND AND OBJECTIVE:Patient-provider language barriers may play a role in health-care disparities, including obtaining colorectal cancer (CRC) screening. Professional interpreters and language-concordant providers may mitigate these disparities. DESIGN, SUBJECTS, AND MAIN MEASURES: We performed a retrospective coh...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Journal of general internal medicine
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