How Do General Practitioners Manage Patient Health Literacy Differences in Cardiovascular Disease Prevention Consultations? an Interview Study

Shannon McKinn,Niamh Chapman,James E. Sharman,Rosie Nash,Mark R. Nelson,Laura Sutton, Cassia Yung,Jenny Doust,Anna L. Hawkes,Carissa Bonner

Patient Experience Journal（2024）SCI 3区SCI 2区

Univ Sydney | Univ Tasmania | Univ Queensland

Cited 0|Views25

Abstract

ObjectivesLow health literacy is associated with worse health outcomes, including for cardiovascular disease (CVD). However, general practitioners (GPs) have limited support to identify and address patient health literacy needs in CVD prevention consultations. This study explored GPs’ experiences of patient health literacy needs during CVD risk assessment and management consultations.MethodsSemi-structured interviews with 18 GPs in Tasmania, Australia in 2021. A Framework Analysis approach was used to code transcripts to a thematic framework.ResultsGPs perceptions on patient health literacy informed three themes: 1. Methods of estimating health literacy; 2. GPs’ perceptions about the impact of health literacy on CVD prevention including risk factor knowledge and behaviours; and 3. Strategies for communicating with patients experiencing health literacy challenges. The findings show that while no formal tools were used to assess health literacy in this sample, perceived health literacy can change GPs’ communication and prevention strategies.ConclusionThe findings raise concerns about the equity of choices made available to patients, based on subjective perceptions of their health literacy level.Practice implicationGPs could be better supported to assess and address patient health literacy needs in CVD prevention consultations.

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Key words

General Practitioner,Cardiovascular Disease,Patient Health Literacy,Primary Prevention,Risk Communication,Risk Assessment

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Pretraining has recently greatly promoted the development of natural language processing (NLP)
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We propose a method called M6 that is able to process information of multiple modalities and perform both single-modal and cross-modal understanding and generation
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