Skip to main content

Main menu

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
TSACO

Advanced Search

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Surgeon compassion may mitigate quality of life disparities associated with health literacy

Morgan J Hopp, Hahn Soe-Lin, Trevor M Lowe, Kristina M Chapple, James N Bogert, Jordan A Weinberg
DOI: 10.1136/tsaco-2022-001029 Published 31 January 2023
Morgan J Hopp
1Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hahn Soe-Lin
1Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus, Phoenix, Arizona, USA
2Department of Surgery, St Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Trevor M Lowe
3Department of Informatics, Barrow Neurological Institute, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kristina M Chapple
1Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus, Phoenix, Arizona, USA
2Department of Surgery, St Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
James N Bogert
1Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus, Phoenix, Arizona, USA
2Department of Surgery, St Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jordan A Weinberg
1Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus, Phoenix, Arizona, USA
4Department of Surgery, Dignity Health/St Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jordan A Weinberg
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Interaction between physician compassion and respect and health literacy.

Tables

  • Figures
  • Table 1

    Patient demographics and injury characteristics

    Entire cohort (n=94)
    Age, 60+23 (24.5%)
    Length of stay3 (2–5)
    Sex, male43 (45.7%)
    Race/ethnicity (%)
     White49 (52.1)
     Hispanic35 (37.2)
     Black10 (10.6)
    Education (%)
     Less than high school6 (6.4)
     High school36 (38.3)
     Some college24 (25.5)
     4-year college degree14 (14.9)
     Graduate school9 (9.6)
    Payer (%)
     Commercial35 (37.2)
     Government59 (62.8)
    Relative DRG weight1.8±1.5
    Trauma patient (vs. emergency surgery)35 (37.2%)
    NVS score (%)
     02 (2.1)
     111 (11.7)
     211 (11.7)
     314 (14.9)
     417 (18.1)
     519 (20.2)
     620 (21.3)
    NVS score (%)
     0–3 inadequate health literacy38 (40.4)
     4–6 adequate health literacy56 (59.6)
    • DRG, diagnostic-related group; NVS, Newest Vital Sign.

  • Table 2

    Comparison of demographics and outcomes by health literacy proficiency

    Inadequate health literacy
    n=38 (40.0%)
    Adequate health literacy
    n=56 (59.6%)
    P value
    Age, 60+15 (39.5%)8 (14.3%)0.005
    Length of stay3.5 (2.0–6.0)3.5 (2.0–5.0)0.630
    Sex, male18 (47.4%)25 (44.6%)0.795
    Race/ethnicity (%)  0.120
     White19 (38.8)30 (61.2) 
     Hispanic12 (34.3)23 (65.7) 
     Black7 (70.0)3 (30.0) 
    Education (%)  0.192
     Less than high school2 (33.3)4 (66.7) 
     High school20 (55.6)16 (44.4) 
     Some college8 (33.3)16 (66.7) 
     4-year college degree4 (28.6)10 (71.4) 
     Graduate school2 (22.2)7 (77.8) 
    Education, years12.9±2.113.9±2.80.044
    Payer (%)  0.008
     Commercial8 (21.1)27 (48.2) 
     Government30 (78.9)29 (51.8) 
    Diagnostic-related group weight1.8±1.61.8±1.50.822
    Trauma admission (vs. emergency surgery)15 (39.5%)20 (35.7%)0.711
    IPC domains (% max score of 5)   
     Lack of clarity0 (0)1 (1.9)0.395*
     Elicited concerns, responded19 (59.4)21 (56.8)0.826
     Explained results22 (62.9)29 (61.7)0.915
     Decided together14 (38.9)16 (34.0)0.649
     Compassionate, respectful21 (55.3)29 (51.8)0.740
     Discriminated based on race1 (2.6)1 (1.8)1.000*
     Disrespectful staff1 (2.6)0 (0)0.404*
    Revised Trauma Quality of Life domains   
     Emotional well-being3.5±1.03.7±0.80.407
     Functional engagement4.0±1.33.9±0.00.800
     Physical well-being3.2±0.53.1±0.40.157
       
    • *Fisher’s exact test.

    • IPC, Interpersonal Processes of Care.

  • Table 3

    Summary of multivariate regression model predicting emotional well-being

    Unstandardized beta coefficient95% CI for betaP value
    Age, 60+0.92−0.73 to 0.6940.168
    Education, years0.07−0.01 to 0.140.078
    Race/ethnicity (reference group, White)
     Hispanic0.01−0.35 to 0.370.946
     Black−0.20−0.74 to 0.340.464
    Diagnostic-related group weight−0.22−0.46 to 0.030.081
    Payer, government0.11−0.25 to 0.470.542
    Physician compassion/respect1.220.56 to 1.87<0.001
    Health literacy0.00−0.12 to 0.120.992
    Interaction: physician compassion/respect ×
    health literacy
    −0.70−1.22 to −0.180.009
    Model adjusted r20.33
PreviousNext
Back to top
Email

Thank you for your interest in spreading the word on TSACO.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Surgeon compassion may mitigate quality of life disparities associated with health literacy
(Your Name) has sent you a message from TSACO
(Your Name) thought you would like to see the TSACO web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Surgeon compassion may mitigate quality of life disparities associated with health literacy
Morgan J Hopp, Hahn Soe-Lin, Trevor M Lowe, Kristina M Chapple, James N Bogert, Jordan A Weinberg
Trauma Surg Acute Care Open Jan 2023, 8 (1) e001029; DOI: 10.1136/tsaco-2022-001029

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Surgeon compassion may mitigate quality of life disparities associated with health literacy
Morgan J Hopp, Hahn Soe-Lin, Trevor M Lowe, Kristina M Chapple, James N Bogert, Jordan A Weinberg
Trauma Surg Acute Care Open Jan 2023, 8 (1) e001029; DOI: 10.1136/tsaco-2022-001029
Download PDF

Share
Surgeon compassion may mitigate quality of life disparities associated with health literacy
Morgan J Hopp, Hahn Soe-Lin, Trevor M Lowe, Kristina M Chapple, James N Bogert, Jordan A Weinberg
Trauma Surgery & Acute Care Open Jan 2023, 8 (1) e001029; DOI: 10.1136/tsaco-2022-001029
Reddit logo Twitter logo Facebook logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Objectives
    • Methods
    • Results
    • Discussion
    • Data availability statement
    • Ethics statements
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • A self calibrating, magnetic sensor approach accurately positions an aortic damage control stent in a porcine model
  • Acetabular fractures in elderly patients are associated with high rates of complications during the initial admission
  • Association between trauma triage and time-to-vaso-occlusive events in patients with sickle cell disease after traumatic injury: a retrospective study
Show more Original research

Similar Articles

 
 

CONTENT

  • Latest content
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Thank you to our reviewers
  • The American Association for the Surgery of Trauma

AUTHORS

  • Information for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

©Copyright 2023 The American Association for the Surgery of Trauma