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Precision communication: Physicians’ linguistic adaptation to patients’ health literacy
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In: Sci Adv (2021)
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Abstract:
Little quantitative research has explored which clinician skills and behaviors facilitate communication. Mutual understanding is especially challenging when patients have limited health literacy (HL). Two strategies hypothesized to improve communication include matching the complexity of language to patients’ HL (“universal tailoring”); or always using simple language (“universal precautions”). Through computational linguistic analysis of 237,126 email exchanges between dyads of 1094 physicians and 4331 English-speaking patients, we assessed matching (concordance/discordance) between physicians’ linguistic complexity and patients’ HL, and classified physicians’ communication strategies. Among low HL patients, discordance was associated with poor understanding (P = 0.046). Physicians’ “universal tailoring” strategy was associated with better understanding for all patients (P = 0.01), while “universal precautions” was not. There was an interaction between concordance and communication strategy (P = 0.021): The combination of dyadic concordance and “universal tailoring” eliminated HL-related disparities. Physicians’ ability to adapt communication to match their patients’ HL promotes shared understanding and equity. The ‘Precision Medicine’ construct should be expanded to include the domain of ‘Precision Communication.’
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Keyword:
Social and Interdisciplinary Sciences
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URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682984/ http://www.ncbi.nlm.nih.gov/pubmed/34919437 https://doi.org/10.1126/sciadv.abj2836
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Employing computational linguistics techniques to identify limited patient health literacy: Findings from the ECLIPPSE study
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In: Health Serv Res (2020)
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Challenges and solutions to employing natural language processing and machine learning to measure patients’ health literacy and physician writing complexity: The ECLIPPSE study
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In: J Biomed Inform (2020)
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Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
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In: Journal of medical Internet research, vol 21, iss 5 (2019)
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Secure Messaging with Physicians by Proxies for Patients with Diabetes: Findings from the ECLIPPSE Study
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In: J Gen Intern Med (2019)
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Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis
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A Randomized Clinical Trial of Group Acupuncture for Painful Diabetic Neuropathy Among Diverse Safety Net Patients
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In: Pain Med (2019)
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Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.
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In: BMC health services research, vol 18, iss 1 (2018)
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Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims ...
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Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims ...
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The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
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The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
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Health Literacy, Health Care Utilization, and Direct Cost of Care Among Linguistically Diverse Patients with Type 2 Diabetes Mellitus
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The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging
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Automated Telephone Self-Management Support for Diabetes in a Low-Income Health Plan: A Health Care Utilization and Cost Analysis.
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In: Population health management, vol 18, iss 6 (2015)
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Automated Telephone Self-Management Support for Diabetes in a Low-Income Health Plan: A Health Care Utilization and Cost Analysis
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Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net.
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In: Ratanawongsa, Neda; Handley, Margaret A; Sarkar, Urmimala; Quan, Judy; Pfeifer, Kelly; Soria, Catalina; et al.(2014). Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net. The Journal of ambulatory care management, 37(2), 127 - 137. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/3jw0n5sm (2014)
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ESL Participation as a Mechanism for Advancing Health Literacy in Immigrant Communities
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Diabetes Health Information Technology Innovation to Improve Quality of Life for Health Plan Members in Urban Safety Net
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Safety events during an automated telephone self-management support intervention.
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In: Journal of diabetes science and technology, vol 7, iss 3 (2013)
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