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. Author manuscript; available in PMC: 2013 Feb 19.
Published in final edited form as: J Natl Med Assoc. 2009 Jul;101(7):677–683. doi: 10.1016/s0027-9684(15)30976-7

Table 1.

Roter-Hall prototypes of control by health literacy level

Paternalism Consumerism Mutuality Default Total
Inadequate literacy 8 (57%) 1 (7%) 5 (36%) 0 (0%) 14 (45%)
Marginal to adequate literacy 4 (23%) 3 (18%) 9 (53%) 1 (6%) 17 (55%)
Total 12 (39%) 4 (13%) 14 (45%) 1 (3%)

Note: Comparison of paternalism vs. non-paternalism (i.e., grouping together consumerism, mutuality, and default): χ2 [1 df] = 3.656, p=0.06

Definition of each prototype of control: Paternalism – refers to a dynamic in which physicians exercise greater control and patients are passive participants. Consumerism – characterized by patient dominance and physician passivity. Mutuality – describes the shared control between patient and physician. Default – both patient and physician lack control over the encounter.