WASHINGTON — Physicians are experimenting with better ways to communicate with patients who have limited health literacy, Joanne Schwartzberg, M.D., said at a conference on health literacy sponsored by the American College of Physicians.
“It's right in the lap of every physician,” said Dr. Schwartzberg, director of aging and community health at the American Medical Association.
The AMA has developed a health literacy kit with a video and manual for clinicians, and has started a train-the-trainer program, she said.
Preliminary results show that after the training, a majority of the physicians changed their communication with patients.
For example, many reported that they were more often asking patients to repeat back instructions.
Reaching out to patients with low health literacy is especially important in managing chronic disease because there is a “mismatch” between the capabilities of individuals and the demands of their diseases, said Dean Schillinger, M.D., associate professor of medicine at the University of California, San Francisco.
For example, in examining the interactions between physicians and patients with type 2 diabetes, Dr. Schillinger found that physicians used a lot of medical jargon when providing recommendations or education to patients.
Patients with low health literacy were confused by terms that physicians might expect a person with chronic diabetes to know, such as “glucometer,” or by hearing that their weight is “stable.”
But simply raising awareness among physicians may not be enough, Dr. Schillinger said.
Physicians say they need more systemic support, such as more appropriate educational materials and improved labeling of pill bottles.