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외국인 암 환자를 위한 국내 방사선치료 영문 텍스트 가독성 분석

Analysis of Readability of Text in English for Radiation Therapy for Foreigner Patient with Cancer in South Korea

  • 김대건 (순천향대학교부속 부천병원 방사선종양학과) ;
  • 김성철 (가천대학교 일반대학원 보건과학과)
  • Dae-Gun, Kim (Department of Radiation Oncology, Soonchunhyang University Bucheon Hospital) ;
  • Sungchul, Kim (Department of Health Science, Gachon University Graduate School)
  • 투고 : 2022.09.27
  • 심사 : 2022.11.28
  • 발행 : 2022.12.31

초록

This study compared and analyzed with the United States(USA) to evaluated the level of readability of radiotherapy information (English text) provide to foreign patients with cancer by medical institutions in South Korea (KOR). A total of 20 the KOR and USA medical hospitals in 10 each provide information for radiation therapy technology were selected. The readability was comparatively analyzed a total of three aspects (lexical, syntactic, cohesion and readability) by using a Coh-Metrix on-line web program. In readability respect, the mean of the Flesch Reading Ease (FRE) was lower in the KOR (8.3) than in the USA (23.2), Flesch-Kincaid grade level (FKGL) was higher in the KOR than in the USA (14.2) indicating that KOR was less readable than the US (p<.05). In both KOR and USA, the reading level (literacy) of the English text for the radiation therapy was found to be higher than high school (FRE level 50 or lower). Therefore, text information in English for the radiation therapy to foreign patients with cancer should be lowered to elementary school level and read to improve the quality of medical services.

키워드

참고문헌

  1. Lee HS, Kim HJ, Oh SM, Park SB, Lee HR. Statistic on international patients in Korea, 2019. Korea Health Industry Development Institute; 2020 [cited 2022 Feb 28]. Available from: https://www.khidi.or.kr/board/view?linkId=48855161&menuId=MENU02186 
  2. Korea Central Cancer Registry. Cancer survival rate increased to 70.7%, and the incidence of breast cancer and prostate cancer is on the rise; 2021 [cited 2021 Dec 29]. Available from: https://kiri.or.kr/PDF/weeklytrend/20220103/trend20220103_8.pdf 
  3. Korea Central Cancer Registry. 2018 National Cancer Registry Statistics Reference; 2020 [cited 2021 Dec 29]. Available from: https://bktimes.net/data/board_notice/1609242328-96.pdf 
  4. Korea Health Industry Development Institute. Global Medical Service Biweekly Report No. 9 for Attracting Foreign Patients; 2020 [cited 2022 Oct 26]. Available from: https://www.khidi.or.kr/board/view?linkId=48834227&menuId=MENU01783 
  5. Korea Evaluation Institute of Industrial Technology. Radiation therapy device technology trends and industry status. 2017;17(5):39-54. [cited 2022 Sep 22]. Available from: https://www.ibric.org/myboard/read.php?id=2781&Page=1&Board=REPORT&TodayReview=1 
  6. Ojha PK, Ismail A, Srinivasan KK. Perusal of readability with focus on web content understandability. J. King Saud Univ-Comput. Inf. Sci. 2021;33(1):1-10.  https://doi.org/10.1016/j.jksuci.2018.03.007
  7. Schwartz K, Northrup J, Israel N, Crowell K, Lauder N, Neale AV. Use of on-line evidence-based resources at the point of care. Fam Med. 2003;35(4):251-6. 
  8. Couper MP, Singer E, Levin CA, Fowler FJ, Fagerlin A, Zikmund-Fisher BJ. Use of the Internet and ratings of information sources for medical decisions: Results from the DECISIONS survey. Medical Decision Making. 2010;30(5):106-14.  https://doi.org/10.1177/0272989X10377661
  9. Tian C, Champlin S, Mackert M, Lazard A, Agrawal D. Readability, suitability, and health content assessment of web-based patient education materials on colorectal cancer screening. Gastrointest Endosc. 2014;80(2):284-90.  https://doi.org/10.1016/j.gie.2014.01.034
  10. Matausch K, PebPck B, PPhretmair F. Accessible web content: A noble desire or a need? Procedia Comput Sci. 2014;27:312-7.  https://doi.org/10.1016/j.procs.2014.02.034
  11. Rhee RL, Von Feldt JM, Schumacher HR, Merkel PA. Readability and suitability assessment of patient education materials in rheumatic diseases. Arthritis Care Res. 2013;65(10):1702-6.  https://doi.org/10.1002/acr.22046
  12. Han MS, Lee SY, Lee MG, Jeon MC, Cho JH, Kim TH. Effect of work improvement for promotion of outpatient satisfaction on CT scan. J Radiol Sci Technol. 2012;35(1):45-50. 
  13. Newsweek. World's Best Hospitals 2021-Top 200 Global; 2022 [cited 2022 Feb 28]. Available from: https://www.newsweek.com/best-hospitals-2021 
  14. Graesser AC, McNamara DS, Louwerse MM, Cai Z. Coh-Metrix: Analysis of text on cohesion and language. Behav Res Methods Instruments Comput. 2004;36(2):193-202.  https://doi.org/10.3758/BF03195564
  15. Ryu JS, Jeon MG. A Coh-Metrix analysis of the first grade middle school English textbooks revised by the 2015 National Curriculum. Kor J Eng Language Linguistics. 2020;20:89-121.  https://doi.org/10.15738/KJELL.20..202003.89
  16. Koh NE, Shin JA. A comparison of the level of difficulty in the English reading part of the CSAT: Before and after the EBS-CSAT Linkage policy. Secondary Eng Edu. 2017;10(4):3-24. 
  17. http://cohmetrix.com/ 
  18. Mohide EA, Whelan TJ, Rath D, Gafni A, Willan AR, Czukar D, et al. A randomised trial of two information packages distributed to new cancer patients before their initial appointment at a regional cancer centre. Br J Cancer. 1996;73(12):1588-93.  https://doi.org/10.1038/bjc.1996.299
  19. Lee KH, Lee JY, Lee MS, Bae SH, Cho BS. The effects of education and test information provision on anxiety, discomfort, and satisfaction of patients during double contrast barium enema. J Radiol Sci Technol. 2011;34(2):117-22. 
  20. Sand-Jecklin K. The impact of medical terminology on readability of patient education materials. J Community Health Nurs. 2007;24(2):119-29.  https://doi.org/10.1080/07370010701316254
  21. Demir F, Ozsaker E, Ilce AO. The quality and suitability of written educational materials for patients. J Clin Nurs. 2008;17(2):259-65.  https://doi.org/10.1111/j.1365-2702.2007.02044.x
  22. Tran BNN, Singh M, Singhal D, Rudd R, Lee BT. Readability, complexity, and suitability of online resources for mastectomy and lumpectomy. J Surg Res. 2017;212:214-21.  https://doi.org/10.1016/j.jss.2017.01.012
  23. Weis BD. Health Literacy: A Manual for Clinicians. American Medical Association Foundation and American Medical Association; 2003 [cited 2022 Oct 26]. Available from: http://lib.ncfh.org/pdfs/6617.pdf 
  24. Rosenberg SA, Francis DM, Hullet CR, Morris ZS, Brower JV, Anderson BM, et al. Online patient information from radiation oncology departments is too complex for the general population. Pract Radiat Oncol. 2017;7(1):57-62.  https://doi.org/10.1016/j.prro.2016.07.008
  25. Text Compare. Flesch-Kincaid Grade Level Readability Caculator [cited 2022 Oct 26]. Available from: https://www.textcompare.org/readability/flesch-kincaid-grade-level/ 
  26. Radiation Oncology. Michigan Medicine [cited 2022 Oct 26]. Available from: https://medicine.umich.edu/dept/radonc/introduction-radiation-therapy 
  27. Samsung Medical Center [cited 2022 Oct 26]. Available from: https://www.samsunghospital.com/gb/language/english/departments/departmentsView.do?DP_CODE=RT