Health literacy and communication quality in health care organizations.
Health literacy and communication quality in health care organizations.
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DOI：
10.1080/10810730.2010.499981
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发表时间：
2010
影响因子：
4.4
通讯作者：
Osborn CY
中科院分区：
文献类型：
--
作者：
Wynia MK;Osborn CY
健康素养有限与健康状况不佳之间的关系可能是由于医疗保健提供组织内的沟通质量差造成的。我们探讨了健康素养状况与在为沟通弱势患者群体提供服务的诊所和医院中接受以患者为中心的沟通之间的关系。全国 13 个医疗机构对 5,929 名患者进行了调查。所有患者均完成了评估以患者为中心的沟通的七个项目。三分之一的人还完成了评估健康素养的三项项目。大多数患者自我报告存在健康素养挑战，报告由于难以理解书面信息（53%）、对自己填写医疗表格缺乏信心（61%）以及需要有人帮助他们阅读医院/诊所材料（57%）而在了解自己的医疗状况方面遇到问题。 Logistic 回归模型显示，在调整患者人口特征和医疗保健组织类型后，健康素养有限的患者报告其医疗保健组织“始终”在七个沟通项目中提供以患者为中心的沟通的可能性比具有足够健康素养的患者低 28-79%。使用这些项目的比例组合，有限的健康素养仍然与报告的沟通质量较低有关。这些结果表明，提高医疗保健组织的沟通质量可能有助于解决健康素养有限的患者所面临的挑战。他们还强调，满足健康素养有限的患者需求的努力应该对这些患者及其护理人员面临的一系列沟通挑战敏感。
The relationship between limited health literacy and poor health may be due to poor communication quality within health care delivery organizations. We explored the relationship between health literacy status and receiving patient-centered communication in clinics and hospitals serving communication-vulnerable patient populations. Thirteen health care organizations nationwide distributed a survey to 5,929 patients. All patients completed seven items assessing patient-centered communication. One third also completed three items assessing health literacy. The majority of patients had self-reported health literacy challenges, reporting problems learning about their medical condition because of difficulty understanding written information (53%), a lack of confidence in completing medical forms by themselves (61%), and needing someone to help them read hospital/clinic materials (57%). Logistic regression models showed that, after adjustment for patient demographic characteristics and health care organization type, patients with limited health literacy were 28–79% less likely than those with adequate health literacy to report their health care organization “always” provides patient-centered communication across seven communication items. Using a scaled composite of these items, limited health literacy remained associated with lower reported communication quality. These results suggest that improving communication quality in health care organizations might help to address the challenges facing patients with limited health literacy. They also highlight that efforts to address the needs of patients with limited health literacy should be sensitive to the range of communication challenges confronting these patients and their caregivers.
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影响因子：
2.8
作者：
Huizinga MM;Elasy TA;Wallston KA;Cavanaugh K;Davis D;Gregory RP;Fuchs LS;Malone R;Cherrington A;Dewalt DA;Buse J;Pignone M;Rothman RL
通讯作者：
Rothman RL
影响因子：
4.2
作者：
Kountz, David S.
通讯作者：
Kountz, David S.
影响因子：
0.9
作者：
Lorenzen, Bonne;Melby, Constance E;Earles, Barb
通讯作者：
Earles, Barb
DOI：
10.1080/14639230600628427
发表时间：
2006-03-01
期刊：
MEDICAL INFORMATICS AND THE INTERNET IN MEDICINE
影响因子：
--
作者：
Friedman, D. B.;Hoffman-Goetz, L.;Arocha, J. F.
通讯作者：
Arocha, J. F.
DOI：
10.1111/j.1532-5415.2006.00691.x
发表时间：
2006-05-01
影响因子：
6.3
作者：
Sudore, Rebecca L.;Mehta, Kala M.;Yaffe, Kristine
通讯作者：
Yaffe, Kristine