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Physician overestimation of patient literacy: A potential source of health care disparities

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Title: Physician overestimation of patient literacy: A potential source of health care disparities
Authors: Kelly, P. Adam pakelly@bcm.edu, Haidet, Paul1
Source: Patient Education & Counseling. Apr2007, Vol. 66 Issue 1, p119-122. 4p.
Subject Terms: *Patient education, *Health education, Primary care, Medical care
Abstract: Abstract: Objective: To investigate physician overestimation of patient literacy level in a primary care setting. Methods: The study sample consisted of 12 non-academic primary care physicians and 100 patients from a U.S. Department of Veterans Affairs Hospital in Houston, Texas. Patient literacy level was measured on a 1–4 scale using the Rapid Estimate of Adult Literacy in Medicine (REALM). Physicians rated each patient''s literacy level on a corresponding scale. Chi-square was used to test for association of patient race/ethnicity and gender with: (1) patient REALM level and (2) discrepancy between patient REALM level and physician rating of patient literacy level. Results: Patient REALM level was not statistically significantly associated with patient race/ethnicity or gender. Physicians overestimated the REALM level for 54% of African American, 11% of white non-Hispanic, and 36% of other race/ethnicity patients (p <.01). Conclusion: Physicians commonly overestimate patients’ literacy levels, and this apparently occurs more often with minority patients, and particularly with African Americans, than with white non-Hispanic patients. This discordance in estimation of patient''s literacy level may be a source of disparities in health care. [Copyright &y& Elsevier]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
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PubType: Academic Journal
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Patient+Education+%26+Counseling%22&quot;&gt;Patient Education &amp; Counseling&lt;/searchLink&gt;. Apr2007, Vol. 66 Issue 1, p119-122. 4p.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+education%22&quot;&gt;Patient education&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+education%22&quot;&gt;Health education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Primary+care%22&quot;&gt;Primary care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;
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  Data: Abstract: Objective: To investigate physician overestimation of patient literacy level in a primary care setting. Methods: The study sample consisted of 12 non-academic primary care physicians and 100 patients from a U.S. Department of Veterans Affairs Hospital in Houston, Texas. Patient literacy level was measured on a 1–4 scale using the Rapid Estimate of Adult Literacy in Medicine (REALM). Physicians rated each patient&#39;&#39;s literacy level on a corresponding scale. Chi-square was used to test for association of patient race/ethnicity and gender with: (1) patient REALM level and (2) discrepancy between patient REALM level and physician rating of patient literacy level. Results: Patient REALM level was not statistically significantly associated with patient race/ethnicity or gender. Physicians overestimated the REALM level for 54% of African American, 11% of white non-Hispanic, and 36% of other race/ethnicity patients (p &lt;.01). Conclusion: Physicians commonly overestimate patients’ literacy levels, and this apparently occurs more often with minority patients, and particularly with African Americans, than with white non-Hispanic patients. This discordance in estimation of patient&#39;&#39;s literacy level may be a source of disparities in health care. [Copyright &amp;y&amp; Elsevier]
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  Data: &lt;i&gt;Copyright of Patient Education &amp; Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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