The purpose of this research was to analyze oral communication patterns between patients with varying degrees of individual health literacy (how patients access, understand, and use health information) and their health providers. We analyzed a secondary data set of 68 patient–nurse provider audiotaped clinic encounters using REALM (Rapid Estimate of Adult Literacy in Medicine, a health literacy measure), correlations, and quantile regression to look at the use of provider dialogue components: closed-ended questions, open-ended questions, data gathering—biomedical, education/counseling—biomedical, data gathering—lifestyle/psychosocial, education and counseling—lifestyle/psychosocial, and checking for understanding. Patients with lower health literacy levels were asked more closed-ended biomedical and lifestyle/psychosocial questions than those with higher literacy levels. Providers did not check for understanding with patients at any health literacy level. Implications for health literacy and adult education in the medical setting, adult classroom, and community organizations are described.

中文翻译：

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健康素养和基本技能低下的成年人

这项研究的目的是分析具有不同程度的个人健康素养（患者如何获取，理解和使用健康信息）的患者及其健康提供者之间的口头交流模式。我们使用REALM（医学成人素养快速估算，一种健康素养度量），相关性和分位数回归分析了68个患者-护士提供者录音诊所遭遇的辅助数据集，以研究提供者对话组件的使用：封闭问题，开放式问题，数据收集-生物医学，教育/咨询-生物医学，数据收集-生活方式/心理社会，教育和咨询-生活方式/心理社会以及检查理解。健康素养水平较低的患者被问到的封闭式生物医学和生活方式/社会心理问题要多于那些文化素养水平较高的患者。提供者没有检查任何健康素养水平对患者的了解。描述了在医疗机构，成人教室和社区组织中对健康素养和成人教育的影响。