Most of us have been in the doctor’s
chamber at some point in our lives. Again, most of us have looked up
health information online. How many times have we understood what the
doctor or the website said at one go?
Speaking for myself, the smug look on
the faces of doctors as they rattle off their medical jargon is
simply irritating at best. (“Why can’t he talk human?”) It was
confusing and scary one time, as an aunt lay in the Intensive Care
Unit and my mind fogged up with all the jargon.
Medical information is not something
you flip through to pass time. You need it to make important
decisions about your health, understand how to take a certain
medication, or use a medical device. You often need the information
in a jiffy. And, if you can access it confidentially, all the better.
The National Health Service understands
all of this. One look at their website and it left me wondering when
we could have something like this for Indians in Indian languages.
While that may be some time away (!), let’s take a look at how this
British government agency went
about translating medical information into accessible, plain
language.
Preferring the accurate term to
general information. The NHS style guide prefers to say, “4 out
of 5 people recover fully in a week,” than say, “You have a good
chance of recovery”. The former way of saying it gives the patient
a clearer idea of the recovery period than the latter option does.
Even when health information is hard to
put across directly, it still needs to be done. And hence, the NHS
says, “You are positive” versus “Tests indicated cancer cells
still remained”. Unclear language can only cause more anxiety and
confuse the patient.
Using the colloquial term over the
technical. The NHS does not hesitate from using terms such as
‘pee
and pooh’. It argues that these words are widely and correctly
understood, rather than the technical term ‘urine’ which might be
restricted to people with higher literacy.
But while choosing the common word, the
NHS is careful to avoid those that might bring in ambiguity. Like
‘wee’ and ‘stool’. People who use voice technologies might
confuse the word ‘wee’ with ‘we’. And, for some people, stool
is only something to sit on.
It’s not that the technical term is
never used in NHS content. When they have to use the word ‘urine’,
the NHS’ content designers make sure they explain it. For instance,
“a poo sample (stool sample)”. This way of educating the user
helps them understand the technical terms which they might hear form
their doctor.
Doing solid user surveys. The
‘pee-pooh’ decision was based on a survey
of over 10,000 website visitors. The overwhelming response was in
favour of common words, though some people said they didn’t like
such words. It also looks at Google search results for synonymous
words that people search for.
This level of detailed research is
possible only because of a top-down push for plain language. The
research places the content authors on firm ground when they make
their decisions on terms to use.
And, one step further. One of
the hospitals in the NHS network has asked its doctors to communicate
with their patients in plain English. It suggests that doctors
avoid Latin terms, acronyms, and convoluted language. It has also
come up with a guideline for doctors on how to write clearer
outpatient letters. It says, “In the Problem/Diagnoses list, you
may use some medical jargon. However, use plain English when
possible. For example, use ‘kidney’ instead of ‘renal’. In
the body of the letter, you can explain jargon, such as with ‘You
have an irregular pulse. This is called atrial fibrillation.’”
Those working in health communication
must always bear in mind that jargon and acronyms used in healthcare
are largely not understood by the people they care for. Avoiding jargon means you are being more patient-friendly, not dumbing down.
The NHS
believes there are no conditions that can’t be explained in plain
language. It has set the benchmark and provided the guidelines. The
journey to clarity in health communication just got more doable.