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Patients’ understanding of health information in Germany

机译：患者对德国健康信息的理解

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Background: Patient–physician communication and textual health information are central to health care. Yet, how well patients understand their physicians and written materials is under-studied. Objectives: Focusing on outpatient health care in Germany, the aim of this research was to assess patients’ levels of understanding oral and written health information and to identify associations with socioeconomic variables. Methods: This analysis drew on a 2017 health survey (n=6,105 adults 18?years of age and above). Measures for the quality of patient–physician communication were derived from the Ask Me 3 program questions for consultations with general practitioners (GPs) and specialists (SPs), and for textual health information via a question on the comprehensibility of written materials. Correlations with socioeconomic variables were explored using bivariate and multivariable logistic regression analyses. Results: Over 90% of all respondents reported that they had understood the GP’s and SP’s explanations. A lack of understanding was most notably correlated with patients’ self-reported very poor health (odds ratio [OR]: 5.19; 95% confidence interval [CI]: 2.23–12.10), current health problem (OR: 6.54, CI: 1.70–25.12) and older age (65?years and above, OR: 2.97, CI: 1.10–8.00). Fewer patients reported that they understood written materials well (86.7% for last visit at GP, 89.7% for last visit at SP). Difficulties in understanding written materials were strongly correlated with basic education (OR: 4.20, CI: 2.76–6.39) and older age (65?years and above, OR: 2.66, CI: 1.43–4.96). Conclusions: In order to increase patients’ understanding of health information and reduce inequalities among patient subgroups, meeting the communication needs of patients of older age, low educational status and with poor health is essential.
机译：背景：患者 - 医师通信和文本健康信息是医疗保健的核心。然而，患者如何了解他们的医生和书面材料。目的：专注于德国门诊医疗保健，这项研究的目的是评估患者的患者理解口头和书面健康信息，并识别与社会经济变量的协会。方法：此分析吸引了2017年健康调查（N = 6,105名成年人18岁及以上）。患者医师沟通质量的措施是从询问我3个关于与全科学者（GPS）和专家（SPS）的磋商的课程，并通过关于书面材料的可理解性的问题进行文本健康信息。使用双变量和多变量逻辑回归分析探索与社会经济变量的相关性。结果：超过90％的受访者报告说，他们已经理解了GP和SP的解释。缺乏理解是最符合患者自我报告的健康状况（赔率比[或]：5.19; 95％置信区间[CI]：2.23-12.10），当前健康问题（或：6.54，CI：1.70 -25.12）和旧年龄（65岁以下，或以上，或：2.97，CI：1.10-8.00）。较少的患者报告说，他们理解书面材料良好（86.7％，在GP上次访问的86.7％，SP上次访问的89.7％）。理解书面材料的困难与基础教育（或：4.20，CI：2.76-6.39）和较大的年龄（65岁及以上，或：2.66，CI：1.43-4.96）相关联。结论：为了提高患者对卫生信息的认识，减少患者亚群的不平等，满足年龄较大，教育状况低，健康状况低的沟通需求至关重要。

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