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Jessup RL, Buchbinder R. What if I cannot choose wisely? Addressing suboptimal health literacy in our patients to reduce over-diagnosis and overtreatment. Intern Med J. 2018;48(9):1154-1157doi: 10.1111/imj.14025.
Jessup, R. L., & Buchbinder, R. (2018). What if I cannot choose wisely? Addressing suboptimal health literacy in our patients to reduce over-diagnosis and overtreatment. Internal medicine journal, 48(9), 1154-1157. https://doi.org/10.1111/imj.14025
Jessup, Rebecca L, and Buchbinder, Rachelle. "What if I cannot choose wisely? Addressing suboptimal health literacy in our patients to reduce over-diagnosis and overtreatment." Internal medicine journal vol. 48,9 (2018): 1154-1157. doi: https://doi.org/10.1111/imj.14025
Jessup RL, Buchbinder R. What if I cannot choose wisely? Addressing suboptimal health literacy in our patients to reduce over-diagnosis and overtreatment. Intern Med J. 2018 Sep;48(9):1154-1157. doi: 10.1111/imj.14025. PMID: 30182395.
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Intern Med J. 2018 Sep;48(9):1154-1157. doi: 10.1111/imj.14025.

What if I cannot choose wisely? Addressing suboptimal health literacy in our patients to reduce over-diagnosis and overtreatment.

Internal medicine journal

Rebecca L Jessup, Rachelle Buchbinder

Affiliations

  1. Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Victoria, Australia.
  2. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

PMID: 30182395 DOI: 10.1111/imj.14025

Abstract

The Choosing Wisely initiative aims to reduce wasteful and harmful healthcare by encouraging clinicians and patients to discuss explicitly the healthcare that is really needed as well as that which is of low or no value. While low health literacy has been found to be associated with under-diagnosis and under-treatment, its potential role as a driver of over-diagnosis and overtreatment has received less attention. This article describes how low health literacy might lead to too much medicine. It then provides an overview of an evidence-based method of communication that might assist with identifying and addressing low health literacy in patients.

© 2018 Royal Australasian College of Physicians.

Keywords: health literacy; low value healthcare; over-diagnosis; over-treatment; teach back

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