Beyond the basics: designing a comprehensive response to low health literacy.
Beyond the basics: designing a comprehensive response to low health literacy.
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超越基础：设计针对低健康素养的综合应对措施。
DOI：
10.1080/15265160701638538
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Wolf,MichaelS
中科院分区：
文献类型：
--
作者：
Gordon,ElisaJ;Wolf,MichaelS
近年来，健康素养作为造成健康差异的关键因素而受到了学术界的广泛关注。在他们的文章“健康素养，健康不平等和公正的医疗保健系统”中，Angelo Volandes和Michael Paasche-Orlow（2007年）在道德框架内适当地讨论了健康素养。他们认为，由于健康素养有限而导致的不良健康结果必须被解释为医疗保健系统的不公正。值得赞扬的是，他们指出，健康素养低的患者构成了一个被忽视的弱势患者群体，因为他们是医疗系统中最不富裕的患者。他们提出了三种途径来纠正这种不公正：对有限的健康素养实施普遍预防措施，更多地使用技术支持的沟通，以及建立临床激励机制。在这篇评论中，我们讨论了他们的建议如何值得称赞，探讨了这些建议可能面临的困难，并提供了解决问题的更多机会。我们认为，促进正义需要超越他们的文章中提出的临床基础知识，以全面改变医疗保健系统。
Health literacy has gained considerable scholarly attention within recent years as a key factor contributing to disparities in health. In their article,“Health Literacy, Health Inequality and a Just Healthcare System,” Angelo Volandes and Michael Paasche-Orlow (2007) appropriately situate health literacy within an ethical framework. They argue that poor health outcomes resulting from limited health literacy must be construed as injustice on the part of the healthcare system. They are to be commended on pointing out that patients with low health literacy constitute a neglected class of vulnerable patients, given their position as among the least well-off patients in the healthcare system. They propose three avenues by which to redress this injustice: implement universal precautions for limited health literacy, greater use of technology-supported communication, and building clinical incentives. In this commentary, we discuss how their recommendations are laudable, explore the likely difficulties such recommendations would face, and offer additional opportunities to address the problem. We argue that promoting justice requires moving beyond the clinical basics presented in their article in order to comprehensively change the healthcare system.