A survey of how patient-perceived empathy affects the relationship between health literacy and the understanding of information by orthopedic patients?

BMC Public Health

Chia-Chih Alex Tseng²  Cheng-I Chu¹ 

[1] Department of Public Health, Tzu Chi University, 701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 97004, Taiwan;Department of Anesthesiology, Ditmanson Medical Foundation, Chia-Yi Christian Hospital, Chiayi City, Taiwan

关键词: Preoperative information understanding;    Patient-perceived empathy;    Health literacy;   

Others  :  1162524
DOI  :  10.1186/1471-2458-13-155

 received in 2012-09-01, accepted in 2013-02-17,  发布年份 2013

【 摘 要 】

Background

There is a lack of research examining patient-perceived empathy and its effect on low-literacy patients’ understanding of health information. This study investigated the moderating effect of patient-perceived empathy on the relationship between health literacy and understanding of preoperative information.

Methods

During a 2-month period, a total of 144 patients took a survey that included the Chinese-edition Rapid Estimate of Adult Literacy in Medicine, the Barrett-Lennard Relationship Inventory and the Preoperative Information Understanding Scale. Hierarchical multiple regression analysis provided a test of moderator effects.

Results

All Cronbach’s alphas exceeded 0.6, with REALM at 0.91, BLRI at 0.67, and PIUS at 0.77.The finding that the interaction term was significant suggests perceived empathy is a relevant factor when considering the relationship between health literacy and the understanding of information by patients. The relationship between the health literacy and understanding of information was stronger and positive among patients who perceived greater empathy from their physicians.

Conclusion

Our study demonstrates that a focus on improving physician–patient empathy skills could be beneficial in helping to overcome the negative consequences associated with limited health-literacy capabilities. Healthcare providers who wish to improve the understanding of information by low health-literacy patients should first identify components of their empathic communication mechanisms, and then try to refine these skills to better serve their patients.

【 授权许可】

   
2013 Chu and Tseng; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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