Health Literacy and Health-Care Engagement as Predictors of Shared Decision-Making Among Adult Information Seekers in the USA: a Secondary Data Analysis of the Health Information National Trends Survey.
Health Literacy and Health-Care Engagement as Predictors of Shared Decision-Making Among Adult Information Seekers in the USA: a Secondary Data Analysis of the Health Information National Trends Survey.
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健康素养和医疗保健参与作为美国成人信息寻求者共同决策的预测因素：健康信息国家趋势调查的二次数据分析。
DOI：
10.1007/s13187-016-1052-z
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Tanner,AndreaH
中科院分区：
文献类型：
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作者：
Wigfall,LisaT;Tanner,AndreaH
本研究的目的是检验健康素养、卫生保健参与和共同决策（SDM）之间的关系。我们分析了健康信息国家趋势调查4（周期3）的数据，这些数据来自于1604名信息寻求者，他们在前一年有过一次或多次非急诊室医疗保健访问。在“总是”和“通常/有时/从不”带健康信息去看医生的成年人中，SDM高出两倍多（OR = 2.54; 95% CI 1.19-5.43）。在寻找健康信息方面，“完全/非常自信”的成年人与“有点/有点/不自信”的成年人的SDM增加了两倍（OR = 2.03; 95% CI 1.37-3.02）。理解健康信息的成人与理解健康信息有困难的成人在SDM上的差异无统计学意义（OR = 1.39; 95% CI 0.93-2.07）。《2020年健康人》的目标是提高可持续发展目标。先前的研究表明，SDM可能会在整个护理过程中改善健康结果。只有大约一半的成年人报告总是参与医疗保健决策。更令人担忧的是，从2003年到2013年，SDM并没有增加。我们的研究结果表明，提高健康素养有可能提高卫生保健参与度，从而提高SDM。需要有效的干预战略来提高卫生知识普及和促进保健参与。
The objective of this study is to examine the relationship between health literacy, health-care engagement, and shared decision-making (SDM). We analyzed Health Information National Trends Survey 4 (cycle 3) data for 1604 information seekers who had one or more non-emergency room health-care visits in the previous year. SDM was more than two times higher among adults who “always” versus “usually/sometimes/never” take health information to doctor visits (OR = 2.54; 95 % CI 1.19–5.43). There was a twofold increase in SDM among adults who were “completely/very confident” versus “somewhat/a little/not confident” about finding health information (OR = 2.03; 95 % CI 1.37–3.02). Differences in SDM between adults who understood health information and those who had difficulty understanding health information were not statistically significant (OR = 1.39; 95 % CI 0.93–2.07). A Healthy People 2020 goal is to increase SDM. Previous research has suggested that SDM may improve health outcomes across the continuum of care. Only about half of adults report always being involved in health-care decisions. Even more alarming is the fact that SDM has not increased from 2003 to 2013. Our findings suggest that increasing health literacy has the potential to increase health-care engagement and subsequently increase SDM. Effective intervention strategies are needed to improve health literacy and promote health-care engagement.