Musculoskeletal health disparities: Health literacy, cultural competency, informed consent, and shared decision making

Frank M. McClellan, James E. Wood, Sherin M. Fahmy, Lynne C. Jones

Research output: Contribution to journalArticle

Abstract

The factors that contribute to musculoskeletal healthcare disparities may influence the results of studies regarding the long-term outcome of orthopaedic implants. Patient decisions regarding their healthcare and their subsequent outcomes are influenced by health literacy. Providing patients with the information that they need to consent to treatment must be provided in a culturally competent manner. The influence of the physician or healthcare provider on the treatment choice varies depending on the type of decision-making process: patient-based, physician-based, or shared decision making. Respecting the patient's autonomy while acknowledging the knowledge and experience of the physician, we advocate for shared decision making. This may require modification of existing regulations regarding informed consent. Furthermore, federal and state directives have been put into place to address healthcare disparities, especially with respect to culturally competent care and access to proper healthcare.

Original languageEnglish (US)
Pages (from-to)195-204
Number of pages10
JournalJournal of long-term effects of medical implants
Volume24
Issue number2-3
DOIs
StatePublished - 2014

Keywords

  • Cultural competency
  • Health disparities
  • Health literacy
  • Musculoskeletal
  • Shared decision making

ASJC Scopus subject areas

  • Biomedical Engineering
  • Dentistry(all)

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