The Role of Health Literacy in Patient-Physician Communication: A Scoping Review

Abstract

Objective: Our objective was to explore the influence of health literacy on patient-physician communication. Methods: We conducted a scoping review of academic papers using PRISMA guidelines and guidance from the Joanna Briggs Institute. We explored health literacy competencies in studies by examining methods used to evaluate the effectiveness of patient-physician communication and identifying barriers and facilitators to communication in the broader context of relevant health literacy domains. Results: In total, we identified 51 papers that met inclusion criteria. Barriers to effective patient-physician communication were physicians’ lack of understanding of patients’ health literacy capacity, changes in healthcare delivery (time constraints and transforming technology due to COVID-19), and language barriers. Facilitators to communication included patient health literacy level, patient trust in the patient-physician relationship leading to decision-making, telehealth/digital health services, health literacy tools, and patient education materials. Conclusion: Future research, policy, and practice should aim for comprehensive assessment of all health literacy domains crucial for patient-physician communication. Delineating health literacy competencies is essential given increasing emphasis on technological resources in healthcare, culturally and linguistically appropriate care in multicultural societies, and addressing service backlogs precipitated by the COVID-19 pandemic. Findings may inform educational programs focused on health literacy.