Health literacy and quality: focus on chronic illness care and patient safety.
Health literacy and quality: focus on chronic illness care and patient safety.
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DOI：
10.1542/peds.2009-1163h
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发表时间：
2009-11-01
期刊：
影响因子：
8
通讯作者：
Lannon, Carole
中科院分区：
文献类型：
--
作者：
Rothman, Russell L;Yin, H Shonna;Lannon, Carole
尽管人们更加重视提高质量，但最近的研究表明，儿童只获得了所示预防性、急性或慢性护理的一半。需要改进的两个主要领域是慢性病护理和预防医疗差错。最近，健康素养已被确定为一个重要的和潜在的改善因素，提高护理质量。对成年人的研究表明，健康素养较低与对处方和其他医疗信息的理解较差以及慢性病知识、自我管理行为和临床结果较差独立相关。还有越来越多的证据表明，健康素养在儿科安全和慢性病护理中很重要。成人研究表明，解决识字可以改善患者的知识，行为和结果。儿科领域的早期研究也显示了类似的前景。有重要的机会来评估和证明健康素养在提高儿科护理质量的重要性。应努力解决健康素养问题，以实现医学研究所的6项目标，即安全、有效、以患者为中心、及时、高效和公平的优质护理。还应努力考虑儿科护理的独特性质，并解决儿童健康特有的“4 D”问题：儿童随时间的发展变化;对父母或成人的依赖;儿童健康的不同流行病学;儿童及其家庭的不同人口模式。
Despite a heightened focus on improving quality, recent studies have suggested that children only receive half of the indicated preventive, acute, or chronic care. Two major areas in need of improvement are chronic illness care and prevention of medical errors. Recently, health literacy has been identified as an important and potentially ameliorable factor for improving quality of care. Studies of adults have documented that lower health literacy is independently associated with poorer understanding of prescriptions and other medical information and worse chronic disease knowledge, self-management behaviors, and clinical outcomes. There is also growing evidence to suggest that health literacy is important in pediatric safety and chronic illness care. Adult studies have suggested that addressing literacy can lead to improved patient knowledge, behaviors, and outcomes. Early studies in the field of pediatrics have shown similar promise. There are significant opportunities to evaluate and demonstrate the importance of health literacy in improving pediatric quality of care. Efforts to address health literacy should be made to apply the 6 Institute of Medicine aims for quality-care that is safe, effective, patient centered, timely, efficient, and equitable. Efforts should also be made to consider the distinct nature of pediatric care and address the "4 D's" unique to child health: the developmental change of children over time; dependency on parents or adults; differential epidemiology of child health; and the different demographic patterns of children and their families.