Developing and testing the health literacy universal precautions toolkit
Developing and testing the health literacy universal precautions toolkit
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DOI：
10.1016/j.outlook.2010.12.002
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发表时间：
2011-03-01
期刊：
影响因子：
4.3
通讯作者：
Callahan, Leigh
中科院分区：
文献类型：
--
作者：
DeWalt, Darren A.;Broucksou, Kimberly A.;Callahan, Leigh
医疗保健系统的健康素养要求往往超过美国人的健康素养技能。本文回顾了健康素养普遍预防措施 (HLUP) 工具包的开发，该工具包由医疗保健研究和质量机构委托，旨在帮助初级保健实践构建护理服务，就好像每个患者的健康素养都有限一样。该工具包的开发历时 2 年，包括 3 项主要任务：(1) 开发单独的工具（解释如何使用或实施策略以尽量减少健康素养水平低下的影响的模块），尽可能使用现有的健康素养资源，(2) 在临床实践中测试单独的工具并将其组装成原型工具包，以及 (3) 在临床实践中测试原型工具包。测试表明，实践将使用简洁且可操作的工具，并且不会被认为是资源密集型的。进行实践自我评估并激发员工的积极性是成功实施的关键要素。实施实践变更需要比预期更多的时间和一些质量改进技术的知识。总之，HLUP 工具包有望成为改善健康素养有限人群初级保健的一种手段，但还需要进一步测试。
The health literacy demands of the healthcare system often exceed the health literacy skills of Americans. This article reviews the development of the Health Literacy Universal Precautions (HLUP) Toolkit, commissioned by the Agency for Healthcare Research and Quality and designed to help primary care practices structure the delivery of care as if every patient may have limited health literacy. The development of the toolkit spanned 2 years and consisted of 3 major tasks: (1) developing individual tools (modules explaining how to use or implement a strategy to minimize the effects of low health literacy), using existing health literacy resources when possible, (2) testing individual tools in clinical practice and assembling them into a prototype toolkit, and (3) testing the prototype toolkit in clinical practice. Testing revealed that practices will use tools that are concise and actionable and are not perceived as being resource intensive. Conducting practice self-assessments and generating enthusiasm among staff were key elements for successful implementation. Implementing practice changes required more time than anticipated and some knowledge of quality improvement techniques. In sum, the HLUP Toolkit holds promise as a means of improving primary care for people with limited health literacy, but further testing is needed.