Health literacy in health systems: perspectives on patient self-management in Israel
Health literacy in health systems: perspectives on patient self-management in Israel
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DOI：
10.1093/heapro/16.1.87
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发表时间：
2001-03-01
影响因子：
2.7
通讯作者：
Peterburg, Y
中科院分区：
文献类型：
--
作者：
Levin-Zamir, D;Peterburg, Y
卫生系统在本千年将面临新的挑战。如何在最佳护理质量和最佳利用日益减少的资源之间取得平衡，将是卫生政策制定者、管理者和从业人员面临的挑战。对急性和慢性病人的干预措施的结果的日益改善将取决于卫生服务提供者、个人及其家庭之间的伙伴关系。病人教育，包括自我管理和授权已被证明是具有成本效益的。至关重要的是，卫生保健提供者促进知情决策，并促进旨在提高个人能力的行动，以控制决定健康和改善健康结果的因素。正是由于这些原因，促进卫生知识普及是改善健康自我管理的核心战略。不同类型的健康素养的功能，互动和关键的健康素养被认为是。以色列Clalit Health Services（CHS）的糖尿病患者和其他慢性病患者在实践中证明了在每个级别提高健康素养的潜力，并以该服务为例来展示其可能性。所有三种类型的卫生知识普及的应用表现在：（一）为公众开发适当的卫生信息工具，用于初级、二级和三级保健环境，并利用文化相关的参与方法，在网上和媒体信息的可获得性和适当性方面加以应用;（二）培训各级卫生专业人员，包括本科生和在职培训;及（iii）发展及应用适当的评估及监察工具，包括公众/病人参与的方法。卫生保健提供者需要考虑他们的病人从哪里获得有关疾病和自我管理的信息，这些信息是否可靠，并告知他们的病人最好的信息来源及其使用。改善与病人和消费者团体的合作可能非常有益，因为这些团体的目标是促进权利和自我管理能力，并倡导改善保健服务。
Health systems will face new challenges in this millennium. Striking the balance between the best quality of care and optimal use of dwindling resources will challenge health policy makers managers and practitioners. Increasingly improvements in the outcomes of interventions for both acute and chronic patients will depend on partnerships between health service providers, the individual and their family. Patient education that incorporates self-management and empowerment has proven to be cost-effective. It is essential that health care providers promote informed decision making, and facilitate actions designed to improve personal capacity to exert control over factors that determine health and improve health outcomes. It is for these reasons that promoting health literacy is a central strategy for improving self-management in health. The different types of health literacy-functional, interactive and critical health literacy-are considered. The potential to improve health literacy at each of these levels has been demonstrated in practice among diabetics and other chronic disease patients in Clalit Health Services (CHS) in Israel is used as an example to demonstrate possibilities. The application of all three types of health literacy is expressed in: (I) developing appropriate health information tools for the public to be applied in primary, secondary and tertiary care settings, and in online and media information accessibility and appropriateness using culturally relevent participatory methods; (ii) training of health professionals at all levels, including undergraduate and in-service training; and (iii) developing and applying appropriate assessment and monitoring tools which include public/patient participatory methods. Health care providers need to consider where their patients are getting information on disease and selfmanagement whether or not that information is reliable and inform their patients of the best sources of information and its use. The improved collaboration with patient and consumer groups, whose goals are to promote rights and self-management capabilities and advocate for improved health services, can be very beneficial.