From Documentation to Communication: Rethinking Language in Clinical Notes - Summary - MDSpire

From Documentation to Communication: Rethinking Language in Clinical Notes

  • By

  • Brianna A. Green

  • Felisha Gonzalez

  • Joann G. Elmore

  • June 29, 2026

  • 0 min

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Objective:

To explore how language used in medical documentation affects patient understanding and communication preferences.

Approach:
  • Study Overview: Allen et al. surveyed 271 adults at the 2023 Minnesota State Fair to assess preferences for documentation phrasing in clinical scenarios.
  • Language Preferences: Participants preferred clear, respectful language over traditional medical jargon, which was often perceived negatively.
Key Findings:
  • Traditional medical jargon was poorly received, with over 70% of participants feeling blamed or labeled by phrases like 'Patient has failed outpatient treatment.'
  • Patients favored language that is clear and clinically precise.
  • The study's sample may not represent the general population due to selection bias, as participants were more educated and had higher English proficiency.
Interpretation:

The study highlights the need for improved communication in clinical documentation to avoid alienating patients.

Limitations:
  • The sample was more educated and had higher English proficiency than the general population.
  • Findings may understate the issue of language comprehension in less-resourced populations.
Conclusion:

Efforts to adapt clinical documentation for patient comprehension should consider the balance between clinical accuracy and patient understanding.

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