Provider perceptions of limited health literacy in community health centers
Provider perceptions of limited health literacy in community health centers
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DOI：
10.1016/j.pec.2007.08.003
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发表时间：
2007-12-01
影响因子：
3.5
通讯作者：
Chin, Marshall H.
中科院分区：
文献类型：
--
作者：
Schlichting, Jennifer A.;Quinn, Michael T.;Chin, Marshall H.
目的：检查社区卫生中心（总部提供者）使用的技术来护理健康素养有限（LHL）的患者。方法：向中西部10个州的803名HC提供者邮寄调查。有效率为47.5%。变量之间的关联进行了检查，使用广义估计方程（GEE）模型，以考虑集群的受访者内HCs.Results：平均供应商估计的LHL患病率之间的英语和西班牙语患者为41 +/- 24%（平均值+/-标准差）。和48 +/-30%。那些接受过健康素养培训的人更有可能让患者重复指示以检查理解（OR = 2.05和p = 0.04），并且更有可能提供为LHL患者设计的健康教育材料（OR = 2.80和p = 0.0002）。供应商不同的类型，鼓励患者带来的朋友或家人的约会（p = 0.02）。结论：供应商估计LHL是非常普遍的，在他们的HC，并使用各种技术，以协助patients.Practice的影响：培训健康素养与增加使用的循证技术，以帮助LHL患者。所有级别的提供者都有可能从法律人道主义法培训中受益。大多数提供者认为，提供专门为LHL患者设计的健康教育材料将非常有帮助。(c)2007爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To examine techniques used by community health center (HQ providers to care for patients with limited health literacy (LHL).Methods: Survey mailed to 803 HC providers in 10 Midwestern states. Response rate was 47.5%. Associations between variables were examined using generalized estimating equations (GEE) models to account for clustering of respondents within HCs.Results: The average provider estimates of LHL prevalence among English- and Spanish-speaking patients were 41 +/- 24% (mean +/- S.D.) and 48 +/- 30%, respectively. Those with training in health literacy were more likely to have patients repeat instructions back to check understanding (OR = 2.05 and p = 0.04) and were more likely to give out health education materials designed for patients with LHL (OR = 2.80 and p = 0.0002). Providers differed by type in encouraging patients to bring friends or family members to appointments (p = 0.02).Conclusion: Providers estimate LHL to be highly prevalent in their HCs, and use various techniques to assist patients.Practice implications: Training in health literacy is associated with increased usage of evidence-based techniques to assist patients with LHL. Providers at all levels would likely benefit from LHL training. Most providers believe providing health education materials designed specifically for patients with LHL would be very helpful. (c) 2007 Elsevier Ireland Ltd. All rights reserved.