A conceptual model of verbal exchange health literacy.

A conceptual model of verbal exchange health literacy.
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DOI:
10.1016/j.pec.2013.10.024
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发表时间:
2014-03
影响因子:
3.5
通讯作者:
Valerio MA
Valerio MA
中科院分区:
医学2区
文献类型:
--
作者:
Harrington KF;Valerio MA

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通过描述言语交流健康素养(VEHL)定义和模型的系统发展来解决对言语交流(口头和听觉)健康素养的理解差距,该定义和模型假设VEHL在健康结果中的作用。系统地回顾了当前的健康素养和沟通文献,并结合患者和提供者的定性数据,使用扎根的理论方法进行了分析。对当前文献和形成性数据的分析表明,言语交流在临床环境中的重要性,并揭示了与患者-提供者关系相关的各种因素及其影响决策和健康行为的特征。VEHL被定义为一种说和听的能力,有助于交流、理解和解释健康信息,以用于健康决策、疾病管理和医疗系统的导航。给出了中介和影响因素的模型描述。VEHL的定义和模型是朝着解决健康素养知识差距迈出的一步,并为研究VEHL对健康结果的影响提供了基础。VEHL是目前对健康素养描述的扩展,并对患者与提供者的沟通和健康决策具有影响。
To address a gap in understanding of verbal exchange (oral and aural) health literacy by describing the systematic development of a verbal exchange health literacy (VEHL) definition and model which hypothesizes the role of VEHL in health outcomes. Current health literacy and communication literature was systematically reviewed and combined with qualitative patient and provider data that were analyzed using a grounded theory approach. Analyses of current literature and formative data indicated the importance of verbal exchange in the clinical setting and revealed various factors associated with the patient-provider relationship and their characteristics that influence decision making and health behaviors. VEHL is defined as the ability to speak and listen that facilitates exchanging, understanding, and interpreting of health information for health-decision making, disease management and navigation of the healthcare system. A model depiction of mediating and influenced factors is presented. A definition and model of VEHL is a step towards addressing a gap in health literacy knowledge and provides a foundation for examining the influence of VEHL on health outcomes. VEHL is an extension of current descriptions of health literacy and has implications for patient-provider communication and health decision making.
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