Title
Readability assessment of patient-provider electronic messages in a primary care setting.
Abstract
Background The high prevalence of limited health literacy among patients threatens the success of secure electronic messaging between patients from diverse populations and their providers. Objective The purpose of this study is to generate hypotheses about the readability of patient and provider electronic messages. Methods We collected 31 patient-provider e-mail exchanges (n = 119 total messages) from a safety-net primary care clinic. We compared the messages' mean word count and Flesch-Kincaid Grade Levels (FKGLs), calculated the frequency of provider messages below an FKGL = 8, and assessed readability concordance between patients' and providers' messages. Results Patients used more words in their initial e-mails compared to providers, but the FKGLs were similar, and 68% of provider messages were written below an FKGL = 8. Of 31 exchanges, 9 (29%) contained at least one patient message with an FKGL> 3 grade levels lower than the corresponding provider message(s). Conclusion Our study demonstrates that most providers are able to respond to patient electronic messages with a matching reading level.
Year
DOI
Venue
2016
10.1093/jamia/ocv087
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Keywords
Field
DocType
secure messaging,readability,health literacy,safety-net,primary care
Primary care clinic,Concordance,Knowledge management,Word count,Readability,Electronic messaging,Primary care,Health literacy,Medical emergency,Multimedia,Medicine
Journal
Volume
Issue
ISSN
23
1
1067-5027
Citations 
PageRank 
References 
1
0.39
2
Authors
4
Name
Order
Citations
PageRank
Jacob B Mirsky120.77
Lina Tieu271.36
Courtney R. Lyles397.20
Urmimala Sarkar4395.21