My name is Moritz Lua and I am an advanced trainee in General Medicine and Endocrinology. I have completed most of my training in Hawkes Bay and will look to return to regional New Zealand once my training is complete.
An Audit Of Patients’ Understanding Of Their Hospital Admission: Does Written Information Handed To The Patient Improve A Patient’s Understanding Of The Diagnosis, Treatment And Expected Hospital Length Of Stay?
This is a preliminary abstract. The repeat audit is currently being completed and not included in result and discussion section.
To audit patient understanding of their diagnosis, treatment and expected day of discharge following the provision of written information provided to the patient on the post take ward round.
Fifty patients were randomly selected from the general medicine post take ward round at Wellington Hospital and interviewed in a semi-structured format. The interviews were transcribed and analysed independently by two Physicians. The patient’s understanding of their diagnosis and treatment was rated into: limited understanding, partial understanding or full understanding.
Following analysis of the first audit cycle written information on the diagnosis, treatment plan and day of discharge was provided. The audit cycle was repeated. Interview transcripts from both audit cycles were then analysed by two physicians, blinded to which audit cycle the transcript originated from. Statistical analysis comparing the first and second audit cycle is to be completed.
Full understanding of diagnosis was 26.5 percent, partial 38.7 percent and limited 34.7 percent. Full understanding of treatment was 18.3 percent, partial was 46.9 percent and limited was 34.7 percent. 68 percent of patients could recall a discussion of discharge date with 56 percent of dates were in keeping with the ward round documentation. The repeat audit interviews are currently being transcribed.
Patient understanding that was in keeping with previous studies. It compares to 59 percent of control patients that knew their diagnosis and 41 percent that knew their treatment plan in a prospective case control study (David Murphy 2015). Similar percentages of health literacy were described in a ministry of health report (Ministry of Health 2010).
David Murphy, R. C., Anthony Spencer, Mark Birch (2015). "When can I go home? A prospective case control study to improve communication with patients regarding their diagnosis, treatment plan and likely discharge date." NZMJ 128(1412): 53-58
Ministry of Health (2010). Ministry of Health. 2010. Korero Marama: Health Literacy and Maori Results from the 2006 Adult Literacy and Life Skills Survey. Wellington: Ministry of Health