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The hidden curriculum undermines teaching about health literacy and clear communication, promoting inequities in care.

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Název: The hidden curriculum undermines teaching about health literacy and clear communication, promoting inequities in care.
Autoři: Coleman C; Department of Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: FM, Portland, 97239-3098, OR, USA; Center for Ethics in Health Care, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: UHN-86, Portland, 97239-3098, OR, USA. Electronic address: colemanc@ohsu.edu., Birk S; Center for Ethics in Health Care, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: UHN-86, Portland, 97239-3098, OR, USA., Stowers K; Center for Ethics in Health Care, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: UHN-86, Portland, 97239-3098, OR, USA; Department of Medicine, Division of Hematology/Medical Oncology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: OC14HO, Portland, 97239-3098, OR, USA., Mullowney C; Center for Ethics in Health Care, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: UHN-86, Portland, 97239-3098, OR, USA; Department of Medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: L475., Portland, 97239-3098, OR, USA., Chisholm-Burns M; Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Office of the Provost, Portland, 97239-3098, OR, USA.
Zdroj: Social science & medicine (1982) [Soc Sci Med] 2025 Dec; Vol. 386, pp. 118545. Date of Electronic Publication: 2025 Sep 12.
Způsob vydávání: Journal Article; Review
Jazyk: English
Informace o časopise: Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE
Imprint Name(s): Original Publication: Oxford ; New York : Pergamon, c1982-
Výrazy ze slovníku MeSH: Curriculum*/standards , Curriculum*/trends , Health Literacy*/standards , Health Literacy*/methods , Communication* , Healthcare Disparities* , Health Personnel*/education, Humans ; Teaching/standards
Abstrakt: Competing Interests: Declaration of competing interest All authors must disclose any financial and personal relationships with other people or organizations that could inappropriately influence or bias their work. Examples of potential competing interests include.
Health care professionals (HCPs) use specialized language to communicate with each other. Health professions curricula teach HCPs clear communication skills to use with patients, however, such best practices are under-utilized in clinical practice. The authors hypothesized that the hidden curriculum is largely responsible for this observation, and conducted a narrative literature review, which explores: a) how HCPs learn the specialized language of their field, b) the relationship of this language to professional identity formation, c) the role of the hidden curriculum in undermining clear communication education and practices, d) the inequities in care that result from unnecessarily complex health communication for communities with lower health literacy, and e) a system-oriented "universal precautions" approach to reforming communication training for HCPs.
(Copyright © 2025 Elsevier Ltd. All rights reserved.)
Contributed Indexing: Keywords: Communication; Education; Health literacy; Hidden curriculum; Jargon; Plain language; Training
Entry Date(s): Date Created: 20251014 Date Completed: 20251106 Latest Revision: 20251203
Update Code: 20251203
DOI: 10.1016/j.socscimed.2025.118545
PMID: 41086483
Databáze: MEDLINE
Popis
Abstrakt:Competing Interests: Declaration of competing interest All authors must disclose any financial and personal relationships with other people or organizations that could inappropriately influence or bias their work. Examples of potential competing interests include.<br />Health care professionals (HCPs) use specialized language to communicate with each other. Health professions curricula teach HCPs clear communication skills to use with patients, however, such best practices are under-utilized in clinical practice. The authors hypothesized that the hidden curriculum is largely responsible for this observation, and conducted a narrative literature review, which explores: a) how HCPs learn the specialized language of their field, b) the relationship of this language to professional identity formation, c) the role of the hidden curriculum in undermining clear communication education and practices, d) the inequities in care that result from unnecessarily complex health communication for communities with lower health literacy, and e) a system-oriented "universal precautions" approach to reforming communication training for HCPs.<br /> (Copyright © 2025 Elsevier Ltd. All rights reserved.)
ISSN:1873-5347
DOI:10.1016/j.socscimed.2025.118545