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Patients' medical knowledge and health counseling: what kind of information helps to make communication patient-centered?

Abstract：

OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provided explicit information on prior knowledge (high vs. low) through self-report. Final-year medical students (semi-experts) were asked to gauge the patient's knowledge level (Experiment 1) and to produce an answer to the inquiry (Experiment 2). A total of N=150 participated in one of the two experiments. RESULTS:Information from word usage and self-reports was used differently in the two experiments. A patient self-reporting low knowledge was assumed to have less background knowledge than one reporting some knowledge about the domain. The technicality of the patient's word use influenced the answers: these were more technical when the inquiry used technical jargon instead of everyday language. CONCLUSION:Knowledge anticipation and communication behavior in email health care seem to be guided by different hints regarding the patient, suggesting the existence of two separate mechanisms. PRACTICE IMPLICATIONS:Beyond merely teaching physicians or health care providers to be aware of the patient's knowledge level when formulating a patient-centered response, on-task methods should support health care providers during the actual communication phase by providing, for instance, metacognitive prompts.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Jucks R,Paus E,Bromme R

doi

10.1016/j.pec.2012.01.011

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

177-83

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(12)00044-4

journal_volume

88

pub_type

杂志文章

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