Main Article Content

Mª Dolores Navarro
Hospital Sant Joan de Déu
Spain
No 31 (2021): Health literacy at school and in the community, Works by invitation
DOI: https://doi.org/10.15304/ie.31.7954
Submitted: 20-09-2021 Accepted: 06-10-2021 Published: 02-12-2021
Copyright How to Cite

Abstract

The level of patients’ health literacy has become a key issue for health professionals and organizations, as it allows them to assess the skills and competencies of patients when using information about their own disease and how they can manage it. Numerous studies have shown how people with a low level of health literacy may have difficulties understanding the instructions of health professionals and have a worse health status and quality of life.


The professionals themselves must be trained in these aspects of health literacy in order to improve their communication and empathic skills when communicating with patients and families. Health professionals must be aware that their way of communicating and addressing patients will influence how they can respond to their situation, in terms of their self-care and approach to the disease, or regarding the follow-up of recommendations or therapeutic compliance. In the same way, a strategic approach from the institution itself is necessary. Thus, the management of the health center must also consider the incorporation of the patient in decision-making.


The health literacy of patients, therefore, will improve much more if this approach is carried out in a comprehensive way, taking into account patients and families, but also considering the communication skills of the professionals and the guidelines of the organization. In addition, for interventions to improve the population's health literacy level to be effective, the administrations, the health systems as a whole, have to incorporate among their guidelines, elements that favor the implementation of said actions.

Cited by

Article Details

References

Berkman, N. D., Sheridan, S. L., Donahue, K. E. et al. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Brach, C., Keller, D., Hernández, L. M. et al. (2012) Ten attributes of health literate health care organizations. Institute of Medicine of the National Academies.

Brega, A. G., Hamer, M. K., Albright, K. et al. (2019). Organizational health literacy: Quality improvement measures with expert consensus. Health Literacy Research and Practice, 3(2), e127-e146. https://doi.org/10.3928/24748307-20190503-01

Davis, T. C., Long, S. W., Jackson, R. H. et al. (1993). Rapid estimate of adult literacy in medicine: A shortened screening instrument. Family Medicine, (25), 391-395.

González de Paz, L., Gálvez Hernández, P. y Navarro Rubio, M. D. (2019). Development and psychometric study of a simple instrument to assess patient communication and comprehension skills: the AsCkS. Family Practice, 4(1), 568–573. https://doi.org/10.1093/fampra/cmz087

Groene, R. O. y Rudd, R. E. (2011). Results of a feasibility study to assess the health literacy environment: Navigation, written, and oral communication in ten hospitals in Catalonia, Spain. JCIH, 4(4), 227-237. https://doi.org/10.1179/1753807611Y.0000000005

Halvorsen, K., Dihle, A., Hansen, C. et al. (2020). Empowerment in health care: A thematic synthesis and critical discussion of concept analyses of empowerment. Patient Education and Counseling, 103(7), 1263-1271. https://doi.org/10.1016/j.pec.2020.02.017

Haun, J., Luther. S., Dodd, V. et al. (2012). Measurement variation across health literacy assessments: Implications for assessment selection in research and practice. Journal of Health Communication, 17(Issue sup3), 141–159. https://doi.org/10.1080/10810730.2012.712615

Heijmans, M., Waverijn, G., Rademakers, J. et al. (2015). Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling, 98(1), 41-48. https://doi.org/10.1016/j.pec.2014.10.006

Howard. D. H., Gazmararian, J. y Parker, R. (2005). The impact of low health literacy on the medical costs of Medicare managed care enrollees. American Journal of Medicine, 118(4), 371-377. https://doi.org/10.1016/j.amjmed.2005.01.010

Kimble, J. (2002). The elements of plain language. Michigan Bar Journal, (81), 44-45.

Koch-Weser, S., DeJong, W. y Rudd, R. E. (2009). Medical word use in clinical encounters. Health Expectations, 12(4), 371-382. https://doi.org/10.1111/j.1369-7625.2009.00555.x

Kutner, M., Greenberg, E., Jin, Y. et al. (2006). The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy. National Center for Education Statistics, US Department of Education.

Lai, A. Y., Ishikawa, H., Kiuchi, T. et al. (2013). Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Education and Counseling, 91(2), 221-227. https://doi.org/10.1016/j.pec.2012.12.018

Montori, V. (2017). ¿Qué es la toma de decisiones compartida (y qué no lo es)? XPac and Health Communication, (1).

Navarro Rubio, M. D., Gabriele Muñiz, G. y Jovell Fernández, A. J. (2008). Los derechos del paciente en perspectiva. Atención Primaria, 40(7), 367-369. https://doi.org/10.1157/13124131

Navarro Rubio, M. D. (2014). Pacientes implicados: Participación del paciente en la toma de decisiones. Papeles de economía española, (142), 85-91. https://www.funcas.es/wp-content/uploads/Migracion/Articulos/FUNCAS_PEE/142art11.pdf

Navarro Rubio, M. D., Rudd, R., Rosenfeld, L. et al. (2016). Health literacy: Implications for the health system. Medicina Clínica, 147(4), 171-175. https://doi.org/10.1016/j.medcle.2016.09.020

Navarro Rubio, M. D., Gálvez Hernández, P. y Virumbrales Cancio, M. (2018). Ciudadanos y Pacientes. En A. Martín Zurro y G. Jodar Solá (Eds.), Atención familiar y salud comunitaria (pp. 31-45). Elsevier.

Navarro Rubio, M. D., Gálvez, P., Vázquez, J. et al. (2019). Valoración de las competencias en salud de los pacientes: Instrumento VACS. Journal of Healthcare Quality Research, 34(4), 193-200. https://doi.org/10.1016/j.jhqr.2019.04.005

Neilsen-Bohlman, L., Panzer, A. M. y Kindig, D. A. (2004). Health literacy: A prescription to end confusion. National Academies Press. https://doi.org/10.17226/10883

Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, (15), 259-267.

OCDE (2013). Evaluación de competencias de adultos. Recuperado de http://skills.oecd.org

Paasche-Orlow, M. K., Schillinger, D., Weiss, B. D. et al. (2018). Health literacy and power. Health Literacy Research and Practice, 2(3), e132-e133. https://doi.org/10.3928/24748307-20180629-01

Parker, R. M., Baker, D. W., Williams, M. V. et al. (1995). The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. Journal of General Internal Medicine, (10), 537-541. https://doi.org/10.1007/BF02640361

Patak, L., Wilson-Stronks, A., Costello, J. et al. (2009). Improving patient-provider communication: A call to action. Journal of Nursing Administration, 39(9), 372-376. https://doi.org/10.1097/NNA.0b013e3181b414ca

Rudd, R. E. (2010). Improving Americans’ health literacy. New England Journal of Medicine, (363), 2283-2285. https://doi.org/10.1056/NEJMp1008755

Rudd, R. E., Groene, O. R. y Navarro-Rubio, M. D. (2013). On health literacy and health outcomes: Background, impact, and future directions. Revista de Calidad Asistencial, 28(3), 188-192. https://doi.org/10.1016/j.cali.2013.03.003

Rudd, R. E., Oelschleger, S., Grabeel, K. L. et al. (2019). The health literacy environment of hospitals and health centers. Assessment tool. Harvard T.H. Chan School of Public Health.

Sørensen, K. et al. (2011). Literature review of health literacy for the development of a theoretical model. HLS-EU Consortium.

Speros, C. I. (2011). Promoting health literacy: A nursing imperative. Nurs Clin North America, 46(3), 321-333. https://doi.org/10.1016/j.cnur.2011.05.007

Stiggelbout, A. M., Van der Weijden, T., De Wit, M. P. et al. (2012). Shared decision making: really putting patients at the centre of healthcare. British Medical Journal, (344), e256. https://doi.org/10.1136/bmj.e256

USDHHS (U.S. Department of Health and Human Service, Office of Disease Prevention and Health Promotion) (2010). National Action Plan to improve health literacy. USDHHS.

Weiss, B. D. (2007). Health literacy and patient safety: Help patients understand. American Medical Association and AMA Foundation.

Wolf, M. S., Wilson, E. A., Rapp, D. N. et al. (2009). Literacy and learning in healthcare. Pediatrics, 124(is3), S275-S281. https://doi.org/10.1542/peds.2009-1162C

Yen, P. H. y Leasure, R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes. Fed Practice, (36), 284-289.