Consumer competencies and the use of comparative quality information - It isn't just about literacy
Consumer competencies and the use of comparative quality information - It isn't just about literacy
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DOI：
10.1177/1077558707301630
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发表时间：
2007-08-01
影响因子：
2.5
通讯作者：
Tusler, Martin
中科院分区：
文献类型：
--
作者：
Hibbard, Judith H.;Peters, Ellen;Tusler, Martin
虽然越来越多的人预计消费者会使用复杂的医疗保健信息做出明智的决定，但目前还不清楚有多少人拥有这样做的技能。在这项调查中，我们检查了健康素养、算术能力和患者积极性，评估了每一项对理解比较医疗保健业绩报告的贡献，以及它们在做出知情选择时的使用。方便抽样的303名适龄就业成年人参与了这项研究。研究结果表明，算术技能对理解能力的预测作用最强，其次是健康素养。较高的活跃度有助于那些识字和计算能力较低的人弥补他们较低的技能，实现较高水平的理解。此外，在需要权衡的情况下，做出好的选择与激活和理解是分开的。这一点很重要，因为许多现实生活中的选择都涉及到权衡。结果表明，选择不仅与读写能力或理解力有关，还与激活有关。
While consumers are increasingly expected to use complex health care information to make informed decisions, it is unclear how many have the skills to do so. In this investigation we examine health literacy, numeracy, and patient activation, assessing the contribution of each to the comprehension of comparative health care performance reports and their use in making an informed choice. A convenience sample of 303 employed-age adults participated in the study. The findings indicate that numeracy skill is the strongest predictor of comprehension, followed by health literacy. Higher activation helps those low in literacy and numeracy compensate for their lower skills and achieve higher levels of comprehension. In addition, making good choices, when trade-offs are necessary, is related to activation separate from comprehension. This is important as many real-life choices involve trade-offs. Results indicate that choice is not just about literacy or comprehension, it also has to do with activation.