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, Kate Dwyer, MD, JD Department of Urology, Vanderbilt University Medical Center , Nashville, TN 37232, United States Search for other works by this author on: Oxford Academic Niels V Johnsen, MD, MPH Department of Urology, Vanderbilt University Medical Center , Nashville, TN 37232, United States Corresponding author: Department of Urology, Vanderbilt University Medical Center, Nashville, TN 37232, United States. Email: niels.v.johnsen@vumc.org Search for other works by this author on: Oxford Academic
The Journal of Sexual Medicine, Volume 21, Issue 8, August 2024, Pages 648–649, https://doi.org/10.1093/jsxmed/qdae057
Published:
02 August 2024
Article history
Received:
13 February 2024
Revision received:
15 April 2024
Accepted:
08 May 2024
Published:
02 August 2024
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Kate Dwyer, Niels V Johnsen, Health literacy in urologic prosthetics, The Journal of Sexual Medicine, Volume 21, Issue 8, August 2024, Pages 648–649, https://doi.org/10.1093/jsxmed/qdae057
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Health care professionals overestimate the extent to which patients understand and can use health information. As we try to convey details such as disease characteristics, treatment options, and postoperative recovery, patients are bombarded with information that lies outside their comfort zone and is riddled with statistics that further confound their understanding. When it comes to sexual medicine and prosthetics in particular, intentional and effective communication is crucial. Success is defined as delivery of a functional device that improves a patient’s quality of life. This comes down to the patient’s perception and goals. Unfortunately, objective surgical success alone does not always equate to subjective success, and much of this disconnect can be traced back to a patient’s health literacy.
Individual health literacy is defined as the degree to which a person can find, understand, and use information and services to inform health-related decisions for oneself or others. In 2003, the Department of Education released a report showing that 14% of Americans (46 million people) have “below basic health literacy.”1 This includes those, for example, who are unable to identify how often to have a specified test, what to drink before surgery, or when to set an appointment date based on written materials. These limitations then become obstacles for patients in managing and understanding their own care. While numerous public policy efforts have been directed at improving individual health literacy, it remains an independent predictor of patient- and systems-level outcomes.
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