Are you assessing the communication "vital sign"? Improving communication with our low-health-literacy patients.
Are you assessing the communication "vital sign"? Improving communication with our low-health-literacy patients.
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您正在评估沟通“生命体征”吗?
DOI:
10.1097/jcn.0b013e318213aa2d
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发表时间:
2011
期刊:
影响因子:
--
通讯作者:
Hughes,Suzanne
中科院分区:
文献类型:
--
作者:
DennisonHimmelfarb,CherylR;Hughes,Suzanne
Approximately one-half of American adults lack the health literacy and numeracy skills necessary to obtain, process, and understand basic health information and services needed to make appropriate health decisions. 1 Health literacy is a shared function of social and individual factors, and health literacy skills are mediated by education, culture, and language. 1 Patients with low health literacy have difficulty processing items that affect cardiovascular disease management activities such as locating or accessing health care, understanding educational materials, reading appointment reminders, reading medication and nutrition labels, and understanding the consequences of unhealthy behaviors and environmental exposures. They may also experience difficulties in communication with their health care provider.Those with low health literacy are 1.5 to 3 times more likely to experience adverse health outcomes. 2 Individuals with inadequate health literacy and chronic conditions such as cardiovascular disease are at increased risk for poor care and outcomes including lack of knowledge about disease, poor self-care, increased hospital admissions, increased mortality, and higher health care costs. 3Y6