Beyond Reading and Understanding: Health Literacy as the Capacity to Act
| Autor: | Jany Rademakers, Monique Heijmans |
|---|---|
| Přispěvatelé: | RS: CAPHRI - R6 - Promoting Health & Personalised Care, Family Medicine |
| Rok vydání: | 2018 |
| Předmět: |
Male
Gerontology INFORMATION definitions Patient Acceptance of Health Care/statistics & numerical data Health Toxicology and Mutagenesis Health Behavior CONSUMERS Psychological intervention lcsh:Medicine patient-centered care Cognition 0302 clinical medicine health competencies Reading (process) Health care health outcomes 030212 general & internal medicine Netherlands media_common Self-management Health Literacy/statistics & numerical data 030503 health policy & services Middle Aged Female 0305 other medical science Psychology Psychosocial Adult STRATEGIES media_common.quotation_subject Decision Making Health literacy Article Young Adult 03 medical and health sciences health determinants Humans Cognitive skill Aged business.industry Self-Management lcsh:R Public Health Environmental and Occupational Health Patient Acceptance of Health Care CARE conceptual models PATIENT ACTIVATION business health literacy |
| Zdroj: | International Journal of Environmental Research and Public Health, 15(8):1676. Multidisciplinary Digital Publishing Institute (MDPI) International Journal of Environmental Research and Public Health Volume 15 Issue 8 International Journal of Environmental Research and Public Health, Vol 15, Iss 8, p 1676 (2018) |
| ISSN: | 1660-4601 |
| Popis: | Many health literacy interventions have a limited focus on functional/cognitive skills. In psychosocial models, the capacity to act however is seen as a major driver of behavioural change. This aspect is often lacking in health literacy concepts. In this study, we examine the impact of both aspects of health literacy (functional/cognitive and capacity to act) on specific healthcare outcomes (healthcare use, experiences with patient-centered care, shared-decision making, and self-management). In a sample of a national panel of people with a chronic disease (NPCD), questions about health literacy, patient activation, and outcomes were asked. The results indicated that 39.9% had limited HL levels and 36.9% had a low activation score. Combined, 22.7% of the sample scored low on both aspects, whereas 45.8% had adequate levels on both. Patients who score low on both use more healthcare and have less positive experiences with patient-centered care, shared decision making, and self-management. Patients who have adequate competency levels in both respects have the best outcomes. Both cognitive and non-cognitive aspects of health literacy are important, and they enhance each other. The capacity to act is especially important for the extent to which people feel able to self-manage. |
| Databáze: | OpenAIRE |
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