Indonesian Journal of Medical Linguistics
Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare

Translating risk into everyday language: health literacy, uncertainty, and patient decision-making in Indonesian clinical encounters

Wulan Kurnia Sari (Universitas Sriwijaya Palembang)



Article Info

Publish Date
30 Sep 2026

Abstract

Background: Risk communication in Indonesian clinical encounters remains shaped by unequal health literacy, medical uncertainty, professional authority, and uneven access to patient-centred explanation. Objective: This study examines how clinical risk, uncertainty, and treatment-relevant information are translated into everyday Indonesian language and how such translation enables or constrains patient decision-making. Method: This study applies qualitative discourse-pragmatic analysis to a 25-item corpus of public patient-facing health materials, consent-related texts, hospital education documents, and regulatory-context sources, coded through risk translation, uncertainty management, and decision-participation indicators. Results: Risk is most frequently translated as everyday manageability through chronic disease control, warning signs, treatment adherence, and professional escalation rather than abstract probability. Uncertainty is commonly organised through conditional boundaries, patient profiles, safety thresholds, and institutional procedures that make indeterminate clinical futures practically navigable. Patient decision-making appears as guided participation, where patients are encouraged to act responsibly but are less frequently invited to compare options, express preferences, or deliberate over alternatives. Implication: This study argues that health literacy should be understood as a communicative condition of clinical justice rather than merely as an individual patient capacity. Novelty: This study contributes an integrated Indonesian framework for analysing risk translation, uncertainty disclosure, and patient participation within one consistent discourse corpus.

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Journal Info

Abbrev

ijml

Publisher

Subject

Description

Indonesian Journal of Medical Linguistics is a double blind peer-reviewed scholarly journal that publishes original research articles and critical studies at the intersection of linguistics, medicine, and health communication. This journal is published quarterly as a platform for the dissemination ...