Health literacy in solid-organ transplantation: a model to improve understanding.
Health literacy in solid-organ transplantation: a model to improve understanding.
复制标题
DOI：
10.2147/ppa.s183092
复制
发表时间：
2018
影响因子：
2.2
通讯作者：
Pickett LR
中科院分区：
文献类型：
--
作者：
Chisholm-Burns MA;Spivey CA;Pickett LR
优化健康和健康是实体器官移植后患者最关键的目标。低健康素养对健康和健康有重要影响，增加了患者产生负面健康结果的风险。超过30%的美国普通患者的健康素养较低，实体器官移植接受者可能特别容易受到健康素养低及其对健康结果的不利影响。进行了全面的文献回顾，并对模型进行了调整，以更好地描述与低健康素养相关的因素。移植中的健康素养模型(Hear-T)以Paasche-Orlow和Wolf的健康素养模型为基础，为直观地展示与低健康素养相关的变量之间的关系以及开发基于证据的策略以改善护理提供了基础。该模型描述了与健康素养相关的许多患者和医疗保健水平因素，其中一些具有双向或互惠关系，包括医疗保健的获取和利用、提供者与患者的互动以及自我管理/遵守。回顾了这些因素的影响以及它们与SOTR结果的关系。Hear-T代表了发展对SOR健康素养复杂性的整体理解的重要一步，并为临床医生提供了一个基础，以设计策略来减轻不良的健康影响，包括增加的住院率、移植物衰竭和死亡率。
Optimizing wellness and health are the most critical goals for patients post solid-organ transplantation. Low health literacy has important implications for wellness and health, increasing patient risk for negative health outcomes. More than 30% of the general US patient population has low health literacy, and solid-organ transplant recipients (SOTRs) may be especially vulnerable to low health literacy and its adverse impact on health outcomes. A comprehensive literature review was conducted and a model was adapted to better depict factors associated with low health literacy. Based on the Paasche-Orlow and Wolf model of health literacy, the Health Literacy Model in Transplantation (HeaL-T) provides a foundation to visually demonstrate the relationships among variables associated with low health literacy and to develop evidence-based strategies to improve care. The model depicts a number of patient and healthcare level factors associated with health literacy, several of which have bi-directional or reciprocal relationships, including access and utilization of healthcare, provider-patient interaction, and self-management/adherence. The impact of these factors and their relationships to SOTR outcomes are reviewed. The HeaL-T represents an important step in developing holistic understanding of the complexity of health literacy in SOTRs and offers clinicians a base from which to design strategies to mitigate adverse health effects including increased hospitalizations, graft failure, and mortality.