The timely study by Olson and Windish1 demonstrated significant communication discrepancies between physicians and hospitalized patients in several aspects of care including patients' knowledge, communication regarding medication and treatment, and psychosocial interactions. Given their findings, the authors highlighted the need to identify solutions to improve communication and interpersonal skills.
Identifying key mediators in clinical relationships is essential in order to develop effective interventions. Recently, limited health literacy has been identified as a potential mediator of poor patient-physician communication.2,3 In their article, the authors suggest using limited health literacy strategies to improve patient comprehension1; however, health literacy was not measured in their analysis. In their study, assessing for the potential association between health literacy and the various communication domains may have provided insight into the large communication gap observed between patients and physicians. In another recent study, hospitalized patients with limited health literacy reported poor communication in the domains of general clarity, responsiveness to patient concerns, and explanations of care compared with patients with higher health literacy.3
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.