Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare
Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare
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DOI：
10.1007/s11606-020-05912-0
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发表时间：
2020-05-29
影响因子：
5.7
通讯作者：
McCaffery, Kirsten J.
中科院分区：
文献类型：
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作者：
Muscat, Danielle M.;Shepherd, Heather L.;McCaffery, Kirsten J.
在过去二十年中，对卫生知识普及和共同决策的研究在很大程度上是沿着沿着但不同的路线发展的。几乎没有证据表明，这些概念和相关实践已经过时，除非是在最实用的方面，例如，通过提高决策辅助工具的可读性来简化共享决策工具。本文提出了一个综合模型，以加强和维持病人参与医疗保健的优势，这两个概念。这包括解决患者的技能和能力，以及对书面和口头信息的修改。我们提出了一个扩展的共享决策模式，其中包括健康素养的概念，并促进两级干预方法，以提高沟通的针对性和个性化，并支持患者之间的可转移的健康素养技能的发展。
Research into health literacy and shared decision-making has largely developed along parallel, but distinct lines over the past two decades. There is little evidence that the concepts and related practice have intersected except in the most functional way, for example, to simplify shared decision-making tools by improving readability scores of decision aids. This paper presents an integrated model to strengthen and sustain patient engagement in health care by drawing on the strengths of both concepts. This includes addressing patients' skills and capacities, alongside modifications to written and verbal information. We propose an expanded model of shared decision-making which incorporates health literacy concepts and promotes two-tiered intervention methods to improve the targeting and personalization of communication and support the development of transferable health literacy skills among patients.