Strategies for Improving Low Health Literacy
Strategies for Improving Low Health Literacy
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DOI：
10.3810/pgm.2009.09.2065
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发表时间：
2009-09-01
影响因子：
4.2
通讯作者：
Kountz, David S.
中科院分区：
文献类型：
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作者：
Kountz, David S.
在美国，超过三分之一的成年人健康素养低，这可能会对医疗保健的质量和成本产生不利影响。这些人不太可能比那些谁是健康知识，了解他们的慢性病，并拥有足够的自我管理技能，更有可能使用药错误。单凭人口统计学风险因素无法识别此类患者。卫生保健提供者应使用快速筛查测试来识别健康素养低的患者，根据患者个体的沟通需求定制与素养相关的干预措施，并评估患者的回忆和理解。提高患者理解的有效策略包括在每次患者就诊时传达几个关键点，无行话沟通，使用图片来澄清概念，以及通过“展示我”或“教回”方法确认患者的理解。尽管取得了这些进展，但卫生保健系统中的多个利益攸关方之间的合作对于克服健康素养障碍和提高护理质量是必要的。
More than 1 in 3 adults in the United States have low health literacy, which can adversely affect the quality and cost of health care. These individuals are less likely than those who are health literate to be knowledgeable about their chronic diseases and possess adequate self-management skills, and are more likely to make medication errors. Demographic risk factors alone cannot identify such patients. Health care providers should use a rapid screening test to identify patients with low health literacy, tailor literacy-related interventions to the communication needs of the individual patient, and assess patient recall and comprehension. Effective strategies to improve patient comprehension include conveying a few key points at each patient visit, jargon-free Communication, use of pictures to clarify concepts, and confirmation of patient comprehension via the "show-me" or "teach-back" method. Despite these advances, collaboration between multiple stakeholders in the health care system is necessary to overcome barriers to health literacy and enhance quality of care.