The Development of a Health Literacy Assessment Tool for Health Plans

The Development of a Health Literacy Assessment Tool for Health Plans
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DOI:
10.1080/10810730.2010.499986
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发表时间:
2010-01-01
影响因子:
4.4
通讯作者:
Carreon, Rita
Carreon, Rita
中科院分区:
医学3区
文献类型:
--
作者:
Gazmararian, Julie A.;Beditz, Katherine;Carreon, Rita

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尽管越来越多的信息表明卫生知识普及程度低的程度和后果,但关于卫生计划所发挥的作用及其为解决这一问题而开展的活动的信息却很少。我们的目标是为卫生计划开发一个卫生知识普及组织评估工具,可以用作基准,并鼓励进一步开展工作。现有工具包括六个评价领域:(1)成员信息/导航;(2)成员服务/通信;(3)网络导航;(4)表格;(5)护士呼叫热线;(6)护士病例/疾病管理。在2009年5月和6月期间,进行了一项试点,有8个不同的健康计划,包括为商业、医疗保险和/或医疗补助成员服务的国家、地区和地方计划。在纳入试点的反馈意见后,全面评估于2009年6月启动。参与计划的反馈意见非常积极,认为可以利用这一工具作为基准,并利用其结果帮助加强其健康计划中的健康知识普及工作。利用这一评估工具的各种保健计划表明,广泛使用是可能的。使用这一综合工具评估健康知识普及工作有助于引起人们对需要改进的领域的关注,并有助于计划更好地吸引消费者关注自己的健康。
Despite growing information on the magnitude and consequences of low health literacy, there is little information about the role health plans are playing and the activities they undertake to address this problem. Our goal was to develop a health literacy organizational assessment tool for health plans that could be used as a benchmark and encourage further work. The existing tool consists of six evaluation areas: (1) information for members/navigation; (2) member services/communication; (3) web navigation; (4) forms; (5) nurse call line; and (6) nurse case/disease management. During May and June, 2009, a pilot was conducted with eight diverse health plans, including national, regional, and local plans serving commercial, Medicare, and/or Medicaid members. After incorporating feedback from the pilot, the full assessment was launched in June 2009. Feedback from the participating plans has been very positive about using this tool as a benchmark and using the results to help strengthen health literacy efforts within their health plans. The variety of health plans that have utilized this assessment tool suggests that widespread use is possible. Evaluation of health literacy efforts using this comprehensive tool can help bring attention to areas in need of improvement and help plans better engage consumers in their own health.