The Experts below are selected from a list of 110388 Experts worldwide ranked by ideXlab platform

J Selfe - One of the best experts on this subject based on the ideXlab platform.

  • the importance of Clear Communication to facilitate bringing the cauda equina patient and the surgical team together
    Orthopaedic Proceedings, 2018
    Co-Authors: S Greenhalgh, J Selfe
    Abstract:

    Purposes of the study and backgroundA Qualitative study exploring patient's experience of Cauda Equina Syndrome (CES) was carried out. The aim of this study was to identify how Cauda Equina Syndrome symptoms may be more effectively identified by patients and their clinician. Patient's symptoms and experiences of their condition were explored, including issues associated with bladder, bowel and sexual functionA summary of the methods used and the results.Via in-depth questions, participants were enabled to share their stories within a confidential setting. Narrative analysis of the patient's story allowed symptom progression and recognition to be explored and language used by participants themselves to describe symptoms identified. Seven themes emerged from the study. The findings were used to develop clinical tools to assist in the consultation process of potential CES patients. Finally the tools were validated by CES patients and clinicians prior to use within a clinical settingConclusionThe findings of ...

  • the importance of Clear Communication to facilitate bringing the cauda equina patient and the surgical team together
    Journal of Bone and Joint Surgery-british Volume, 2017
    Co-Authors: S Greenhalgh, J Selfe
    Abstract:

    Purposes of the study and background A Qualitative study exploring patient9s experience of Cauda Equina Syndrome (CES) was carried out. The aim of this study was to identify how Cauda Equina Syndrome symptoms may be more effectively identified by patients and their clinician. Patient9s symptoms and experiences of their condition were explored, including issues associated with bladder, bowel and sexual function A summary of the methods used and the results. Via in-depth questions, participants were enabled to share their stories within a confidential setting. Narrative analysis of the patient9s story allowed symptom progression and recognition to be explored and language used by participants themselves to describe symptoms identified. Seven themes emerged from the study. The findings were used to develop clinical tools to assist in the consultation process of potential CES patients. Finally the tools were validated by CES patients and clinicians prior to use within a clinical setting Conclusion The findings of this research have been utilised, working with patients as partners, to establish Clear, sensitive and understandable language to use during clinical questioning of potential CES patients. This patient choice of language for sensitive questions has been replicated on a clinical cue card to use during the consultation and on a credit card sized leaflet to give to patients. Working with patients, Clear methods of Communication have been developed surrounding potentially embarrassing but critical symptoms in order to assist ‘bringing the individual patient and the surgical team together at the earliest practical opportunity’ No conflicts of interest Source of funding; Physiotherapy Research Foundation (Part of the CSP Charitable Trust registered charity 279882)

Gary L Kreps - One of the best experts on this subject based on the ideXlab platform.

  • an examination of the clarity of government health websites using the centers for disease control and prevention s Clear Communication index
    Frontiers in Communication, 2019
    Co-Authors: Daniel M Gagen, Gary L Kreps
    Abstract:

    This essay used a content analysis method, the Centers for Disease Control and Prevention research tool, the Clear Communication Index, to evaluate the understandability levels of 10 office and six agency’s health websites, under the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Health, which are designed for patients to have access to information about health interventions. The objective of this content analysis study was to measure the content of the 10 office websites and six agencies in terms of the Clear Communication of the health information. The results provide support that these websites do provide relevant health information to consumers and are designed to provide consumers with information support relevant to their health. These findings will help determine best practices for creating website content suitable for all health literacy levels, identify modifications to improve the index and build on previous literature in regard to the importance of using plain language in public health websites.

  • measuring health literacy levels of a patient portal using the cdc s Clear Communication index
    Health Promotion Practice, 2017
    Co-Authors: Jordan M Alpert, Linda Desens, Alex H Krist, Rebecca A Aycock, Gary L Kreps
    Abstract:

    Once promised to revolutionize health care, patient portals have yet to fully achieve their potential of improving Communication between patients and clinicians. In fact, their use can be detrimental to many consumers due to their limited literacy and numeracy skills. This study demonstrates how applying the Centers for Disease Control and Prevention's Clear Communication Index to a patient portal can be used to identify opportunities for better patient Communication and engagement. The Clear Communication Index contains 20 scored items grounded in Communication science to enhance patients' understanding of health information. The Index was applied to one portal used by over 80,000 patients in 12 primary care practices: MyPreventiveCare. This portal was selected because of its ability to personalize preventive and chronic care information by internally using content featuring health literacy principles and linking patients' externally to trusted materials. Thirty-seven frequently visited portal pages (17 internal and 20 external) were evaluated based on the Index's four main variables. The overall score for the portal was 72%, which falls below the 90% threshold to be considered Clear Communication. Internal content scored higher than external (75% vs. 69%). Specific changes to improve the score include simpler language, more specific examples, and Clearer numerical explanations.

Erin Keely - One of the best experts on this subject based on the ideXlab platform.

  • using a structured discharge letter template to improve Communication during the transition from a specialized outpatient diabetes clinic to a primary care physician
    Canadian Journal of Diabetes, 2015
    Co-Authors: Maryanne Doyle, Janine Malcolm, Julie Maranger, Erin Keely
    Abstract:

    Abstract Objective Transition from specialists to primary care physicians is dependent on Clear Communication by means of a discharge letter. Primary care physicians have indicated that letters from specialists rarely contain the details they require. As part of a quality-improvement project to improve the transition from diabetes clinics to primary care physicians, a structured discharge letter template was developed to facilitate the dictation of useful letters by specialists. The objective was to evaluate the content and quality of discharge letters created using a structured discharge letter template as compared to letters completed without the template. Methods Retrospective study of patients treated at the Ottawa Hospital and discharged from the outpatient diabetes clinic between November 1, 2009, and December 1, 2010. The letters were reviewed by 2 independent reviewers and were assessed for content, brevity, clarity, management plan, organization and quality. Word count, dictation and transcription times were also compared. Results Letters completed using the structured discharge letter template were more comprehensive and more likely to contain guidelines on management for glycemic control (51.1% vs. 14.1%; p Conclusions The use of a structured discharge letter template improved the content and quality of discharge letters dictated by specialists. Primary care physicians were more consistently provided with valued information and given criteria for re-referral.

Ogechi Dike - One of the best experts on this subject based on the ideXlab platform.

Barry D Weiss - One of the best experts on this subject based on the ideXlab platform.

  • teaching about health literacy and Clear Communication
    Journal of General Internal Medicine, 2006
    Co-Authors: Sunil Kripalani, Barry D Weiss
    Abstract:

    Physician-patient Communication is considered a fundamental aspect of medical care; yet, research shows that patients commonly have difficulty in understanding medical instructions from physicians.1,2 Physicians often use medical jargon, deliver too much information at a time, and do not confirm patients' understanding of what was discussed.3,4 At the end of the medical encounter, patients remember less than half of what the physician tried to explain, and they may be uncertain about what steps to take next.3,5,6 Low health literacy contributes to the Communication gap between physicians and patients.4,7 Patients with low health literacy may have less familiarity with medical concepts and vocabulary, and they ask fewer questions (S. Kripalani, unpublished data). They may also hide their limited understanding out of shame or embarrassment.8 Research shows that physicians commonly overestimate patients' literacy levels, and they rarely consider limited literacy skills in their assessment of whether patients understand what they need to do.9,10 Furthermore, when provided information about patients' literacy levels, physicians appear ill-prepared to communicate effectively.11 In their reports on health literacy, the American Medical Association (AMA) Ad Hoc Committee for the Council on Scientific Affairs, the National Work Group on Literacy and Health, and the Institute of Medicine each called for greater efforts to educate physicians and other health professionals about issues related to health literacy, including techniques to communicate more Clearly.12–14 In this article, we describe effective strategies for teaching about health literacy and Clear Communication. We highlight the most important educational content areas and discuss methods for teaching about health literacy through both clinical precepting and more formal curricula. While the focus of this article is on teaching medical students and residents, its lessons could be applied to developing programs for practicing physicians. Indeed, some of the methods outlined in this article are used in the AMA's health literacy training program for physicians.15 The approach described in this article is also applicable to the training of students and practitioners in all of the health care professions.