Health literacy in the urgent care setting: What factors impact consumer comprehension of health information?
Health literacy in the urgent care setting: What factors impact consumer comprehension of health information?
复制标题
DOI：
10.1002/2327-6924.12452
复制
发表时间：
2017-05-01
影响因子：
1.2
通讯作者：
Morris, Nancy J.
中科院分区：
文献类型：
--
作者：
Alberti, Traci L.;Morris, Nancy J.
背景：越来越多的美国人正在使用紧急护理(UC)诊所，原因是：医疗保险覆盖范围扩大，需要降低成本，初级保健办公室预约时间有限，以及对方便护理的渴望。患者在疼痛或感觉不舒服时，由他们可能不知道的提供者治疗偶发性疾病或伤害。目的：检查成年UC人群的健康素养，并确定与健康素养风险相关的患者特征。方法：作为一项更大规模横断面研究的一部分，2013年10月至2014年1月期间就诊的UC患者完成了一份人口统计学问卷和最新的生命体征。采用描述性、非参数分析和多项Logistic回归分析评价健康素养及其影响因素和预测因素。健康素养有限的可能性与年龄增加(p<；.001)、教育程度低(p<；.001)和低收入(p=.006)有关。结论/暗示：健康素养有限在UC郊区环境中很常见，增加了消费者可能不理解重要健康信息的风险。明确的提供者沟通和确认对自我管理的出院指示的理解对于优化UC患者的预后至关重要。
Background: An increasing number of Americans are using urgent care (UC) clinics due to: improved health insurance coverage, the need to decrease cost, primary care offices with limited appointment availability, and a desire for convenient care. Patients are treated by providers they may not know for episodic illness or injuries while in pain or not feeling well. Treatment instructions and follow-up directions are provided quickly.Purpose: To examine health literacy in the adult UC population and identify patient characteristics associated with health literacy risk.Methods: As part of a larger cross-sectional study, UC patients seen between October 2013 and January 2014 completed a demographic questionnaire and the Newest Vital Sign. Descriptive, nonparametric analyses, and a multinomial logistic regression were done to assess health literacy, associated and predictive factors.Results: A total of 57.5% of 285 participants had adequate health literacy. The likelihood of limited health literacy was associated with increased age (p < .001), less education (p < .001),and lower income (p = .006).Conclusions/implications: Limited health literacy is common in a suburban UC setting, increasing the risk that consumers may not understand vital health information. Clear provider communication and confirmation of comprehension of discharge instructions for self-management is essential to optimize outcomes for UC patients.