Improving health literacy in patients with chronic conditions: A call to action
Improving health literacy in patients with chronic conditions: A call to action
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DOI：
10.1016/j.ijcard.2018.08.090
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发表时间：
2018-12-15
影响因子：
3.5
通讯作者：
Conard, Scott
中科院分区：
文献类型：
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作者：
Dunn, Patrick;Conard, Scott
知识和教育是个人接受护理的基础，健康素养是患者理解健康信息并采取行动的能力。心血管疾病和糖尿病是需要患者积极参与的复杂疾病。缺乏对病情的了解和自我护理行为的参与限制了治疗的有效性。需要一个有效的模型来更好地了解心血管疾病和糖尿病患者如何获得管理其健康所需的知识和技能。在合作中，作者创建了多个项目，这些项目已在医疗机构和公司交付，从而建立了一个建立功能和关键健康素养技能的模型。这种模式是一个从健康素养开始的过程，包括对疾病的知识和理解。功能性读写能力包括计算能力，即理解和操纵数字的能力，以及导航能力，即理解如何处理信息。最后，关键的健康素养包括沟通技能，包括知道要问什么问题和分享什么信息，以及决策，其中可能包括共同决策。这五个层次的健康素养形成了一个进步的能力，病人成为一个积极的参与者在他们的护理，并告知医疗保健提供者有效的教育方法。(C)2018爱思唯尔B.V.保留所有权利。
Knowledge and education is foundational to an individual receiving care, and health literacy is the ability of patients to understand and act on health information. Cardiovascular disease and diabetes are complex conditions that require active participation on the part of the patient. Lack of understanding on the condition and participation in self-care behaviors limits the effectiveness of treatment. An effective model is needed to better understand how patients with cardiovascular disease and diabetes acquire the knowledge and skills necessary to manage their health. In working together, the authors have created multiple programs that have been delivered at medical offices and corporations, resulting in a model for building functional and critical health literacy skills. This model is a progression that begins with health literacy, including the knowledge and understanding of the condition. Functional literacy includes numeracy, which is the ability to understand and manipulate numbers, and navigation, which is an understanding of what to do with the information. Finally, critical health literacy includes communication skills, including knowing what questions to ask and what information to share, and decision making, which can include shared decision making. These five levels of health literacy form a progression in the ability of the patient to become an active participant in their care, and inform the healthcare provider on effective educational methods. (C) 2018 Elsevier B.V. All rights reserved.