Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health
Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health
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DOI：
10.1097/phh.0000000000001324
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发表时间：
2021-11-01
影响因子：
3.3
通讯作者：
Pronk, Nico
中科院分区：
文献类型：
--
作者：
Santana, Stephanie;Brach, Cindy;Pronk, Nico
内容有：健康人民2030是健康人民倡议的第五次迭代，提供了以科学为基础的国家健康目标，目标是改善美国人的健康和福祉。自1979年建立以来，健康人框架第一次将普及健康知识作为实现健康和福祉的首要目标和基本原则。越来越多的关于卫生知识普及的文献将其描述为一个概念，它不仅依赖于个人能力，而且依赖于组织使与卫生有关的信息和服务公平获得和理解的能力。计划：美国卫生与公众服务部（HHS）根据最新的科学，每十年更新一次健康人目标。为了制定2030年健康人，卫生和公众服务部借鉴了2030年国家健康促进和疾病预防目标秘书咨询委员会（秘书咨询委员会）的建议，这是一个由国家卫生专家组成的独立咨询委员会，以更新20年前以个人为中心的健康人健康素养定义。卫生和公众服务部就该定义的拟议修改征求了公众和用户的意见。实施：卫生和公众服务部发布了一份联邦登记通知，征求公众意见，政府工作人员对这些意见进行了定性分析。评估：2个独立的分析显示，多数支持改善的定义，侧重于个人和组织在健康素养的作用。结果导致HHS主题专家更新定义，包括个人健康素养和组织健康素养的定义。《健康人2030》的扩展健康素养定义反映了最新的科学和来自秘书咨询委员会、公众意见和HHS主题专家的意见。讨论内容：更新后的定义旨在推进《2030年健康人》的健康素养目标，特别是随着越来越多的公共卫生和其他部门的组织认识到他们在提供优质健康信息和服务方面的作用。
Content: Healthy People 2030, the fifth iteration of the Healthy People initiative, provides science-based national health objectives with targets to improve the health and well-being of Americans. For the first time since its 1979 establishment, the Healthy People framework aims to attain health literacy as an overarching goal and foundational principle to achieving health and well-being. Growing literature on health literacy describes it as a concept not solely reliant on individual capabilities but also on organizations' ability to make health-related information and services equitably accessible and comprehensible. Program: The US Department of Health and Human Services (HHS) updates the Healthy People objectives each decade based on the most current science. For the development of Healthy People 2030, HHS drew on recommendations from the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Secretary's Advisory Committee), an independent advisory committee of national health experts, to update the 20-year old individual-focused Healthy People definition of health literacy. HHS solicited input from members of the public and users on the proposed changes to that definition. Implementation: HHS published a Federal Register notice to solicit public comments, which were qualitatively analyzed by government staff. Evaluation: The 2 separate analyses revealed plurality support for improving the definition to focus on both individual and organizational roles in health literacy. Results led HHS subject matter experts to update the definition to include definitions of personal health literacy and organizational health literacy. Healthy People 2030's expanded health literacy definition reflects the most current science and input from the Secretary's Advisory Committee, public comments, and HHS subject matter experts. Discussion: The updated definition is intended to advance Healthy People 2030's health literacy goals particularly as more organizations in public health and other sectors acknowledge their role in the delivery of quality health information and services.