Health literacy: health professionals' understandings and their perceptions of barriers that Indigenous patients encounter.
Health literacy: health professionals' understandings and their perceptions of barriers that Indigenous patients encounter.
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DOI：
10.1186/s12913-014-0614-1
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发表时间：
2014-11-29
影响因子：
2.8
通讯作者：
Smylie J
中科院分区：
文献类型：
--
作者：
Lambert M;Luke J;Downey B;Crengle S;Kelaher M;Reid S;Smylie J
尽管对健康素养的兴趣越来越大，但很少有研究围绕卫生专业人员的健康素养知识或对患者在医疗保健系统中面临的健康素养障碍的理解进行。新西兰（新西兰）、加拿大和澳大利亚的原住民在健康状况和结果方面经历了许多不平等，国际证据表明，原住民、少数族裔和社会经济弱势群体的识字需求更大。为了解决土著卫生知识普及方面的问题，采取双管齐下的办法，包括对卫生专业人员进行教育，以及进行结构性改革，减少系统对土著病人的要求，这是减少这些不平等现象的重要步骤。这项研究涉及四个土著保健服务机构。访谈和一个焦点小组被用来探索与经历过心血管疾病（CVD）并正在服用药物以预防未来事件的患者一起工作的卫生专业人员的经验。专题分析已经完成，这些见解被用于制定干预措施，作为研究的第二阶段进行测试。对数据的分析确定了十个共同主题。本文集中在卫生专业人员的健康素养的理解和感知的障碍，他们的病人在获得医疗服务时所面临的。卫生专业人员的健康素养的概念各不相同，并与他们的看法，他们的病人面临的障碍时，试图建立健康素养的技能。这些概念包括从侧重于患者缺陷的健康素养定义到侧重于患者和卫生系统的更广泛定义。所有与会者都认为，文化、社会和系统性障碍是土著病人提高健康知识和做法的障碍。这项研究表明，卫生专业人员对卫生知识的了解有限，对土著病人卫生知识水平低的后果了解有限。这种缺乏了解的情况，加上人们认为的提高卫生知识的障碍，限制了卫生专业人员提高土著病人卫生知识技能的能力，并可能限制病人提高对其疾病的了解和指导如何管理其健康状况的能力。
Despite the growing interest in health literacy, little research has been done around health professionals’ knowledge of health literacy or understandings of the barriers to health literacy that patients face when navigating the health care system. Indigenous peoples in New Zealand (NZ), Canada and Australia experience numerous inequalities in health status and outcomes and international evidence reveals that Indigenous, minority, and socio-economically disadvantaged populations have greater literacy needs. To address concerns in Indigenous health literacy, a two-pronged approach inclusive of both education of health professionals, and structural reform reducing demands the system places on Indigenous patients, are important steps towards reducing these inequalities. Four Indigenous health care services were involved in the study. Interviews and one focus group were employed to explore the experiences of health professionals working with patients who had experienced cardiovascular disease (CVD) and were taking medications to prevent future events. A thematic analysis was completed and these insights were used in the development of an intervention that was tested as phase two of the study. Analysis of the data identified ten common themes. This paper concentrates on health professionals’ understanding of health literacy and perceptions of barriers that their patients face when accessing healthcare. Health professionals’ concepts of health literacy varied and were associated with their perceptions of the barriers that their patients face when attempting to build health literacy skills. These concepts ranged from definitions of health literacy that were focussed on patient deficit to broader definitions that focussed on both patients and the health system. All participants identified a combination of cultural, social and systemic barriers as impediments to their Indigenous patients improving their health literacy knowledge and practices. This study suggests that health professionals have a limited understanding of health literacy and of the consequences of low health literacy for their Indigenous patients. This lack of understanding combined with the perceived barriers to improving health literacy limit health professionals’ ability to improve their Indigenous patients’ health literacy skills and may limit patients’ capacity to improve understanding of their illness and instructions on how to manage their health condition/s.
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DOI：
10.3109/15360288.2012.751955
发表时间：
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影响因子：
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作者：
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