Objective This study aims to explore patients'ratings of the quality of doctor-patient communication during hospitalization and how these ratings vary according to patients'health literacy,providing decision-making support for establishing effective doctor-patient communication and reducing adverse events after discharge.Methods Interviews were conducted with hospitalized patients to assess their personal characteristics and health literacy.After discharge,patients completed a 27-item sur-vey on interpersonal relationships and communication in healthcare via telephone.Results A total of 84 patients completed the hospitalization and telephone interviews.The average age of the subjects was 55 years,and 44％reported a lack of health knowl-edge.Overall,patients rated communication regarding their preferences and the ability to adhere to recommendations the lowest.Patients with insufficient health literacy scored significantly lower in overall clarity,responsiveness to patient concerns,and expla-nations of the nursing process(P＜0.05).In multivariable analysis,there was no relationship with overall clarity.Conclusion Doctors received relatively poor evaluations in considering patients'preferences and adherence capabilities.Patients with insuf-ficient health literacy exhibited lower quality and clarity in multiple areas of hospital communication.There is a need for greater attention to effective health communication in medical settings.
关键词
健康素养/住院患者/医患沟通
Key words
Health literacy/Hospitalized patients/Doctor-patient communication
维普
万方数据