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News Wires, White Papers, and Books Articles > Health magazines > Nursing and Health magazines > Nursing Economics articles > September 2009
Nursing Economics Article: Health literacy: implications for ambulatory care.(Perspective in Ambulatory Care) =====================================================
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Nursing Economics
Article date:
September 1, 2009Author: CopyrightCOPYRIGHT 1999 Jannetti Publications, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights or concerns about this content should be directed to customer service. (Hide copyright information)
See related articles Related articles HEALTH LITERACY IS THE degree to which individuals have the capacity to obtain, process, understand, and act on health information and services needed to make appropriate health decisions (American Medical Association, 1999; Healthy People, 2001). Along with self-management and continuity of care, health literacy is crosscutting area for research and intervention to improve the nation's health (Adams & Corrigan, 2003). Many ambulatory care patients either have multiple co-morbidities or are the caregiver for a patient with co-morbidities and face increased demands for self-care. Those patients and caregivers who also struggle with low health literacy are at increased risk for difficulties managing the self-care required to successfully contend with co-morbidities and complex regimens. Moreover, the stress of visiting a provider can decrease one's ability to understand regardless of literacy skill. The purpose of this article is to call attention to health literacy and to call for action to address the issue of health literacy in ambulatory care settings.
National Agenda Health literacy began to gain national interest in the 1990s when research reports brought renewed attention to the mismatch between educational materials and reading ability. The report from the American Medical Association Council on Scientific Affairs (1999) contributed to professional awareness of the prevalence and consequences of low health literacy. The Institute of Medicine (2004) reinforced the message with their Prescription to End Confusion. Richard Carmona (2006), during his tenure as Surgeon General, noted that addressing health literacy was critical to improving the health of the American public. At the service level, The Joint Commission identified health literacy as a critical element for patient safety (Joint Commission, 2008). Health literacy plays a significant role in patient-provider communication, a key aspect of high-quality, safe ambulatory care (Persell, Osborn, Richard, Skripauskas, & Wolf, 2007).
Prevalence of Low Health Literacy Public health experts were aware of issues surrounding low health literacy as early as the 1970s. The field of inquiry began in earnest in 1992 when the National Adult Literacy Survey study found that almost 90 million adults across the United States read at an eighth grade level or lower (Kirsch, Jungeblut, Jenkins, & Kolstad, 2002). Results from that study gained increased national attention with the release of Healthy People 2010, in which improving health literacy was listed as a sub-objective within health communication (Healthy People, 2001). A second national survey conducted in 2003, the National Adult Assessment of Literacy (NAAL), specifically evaluated health literacy. The NAAL results suggested 87 million adults struggle to understand health information (Kutner, Greenberg, Jin, & Paulsen, 2006). Additional research in the past decade posits that low health literacy affects one's ability to take medication according to directions, adhere to prescribed regimens, follow directions for common radiologic procedures, make health-related decisions, participate actively in self-care, access health care, and understand health care rights (Berkman et al., 2004). Low health literacy affects people of all races, income, education levels, but poses a significant problem for older adults. In fact, the NAAL suggested almost 59% of adults over the age of 65 struggle to understand even the most basic health information (White, 2008).
Ambulatory care practices can obtain a rough estimate of the overall percentage of patients who may have difficulty understanding medical information and instructions by taking advantage of a free health literacy prevalence calculator (Clear Health Communication Initiative, 2008). The calculator uses a simple formula that takes into … Read all of this article with a FREE trial
Related newspaper, magazine, and journal articles: AAACN Viewpoint
Article: Improving Low Health Literacy: KEY RESOURCES AAACN Viewpoint; September 1, 2008 ; 700+ words ... ... nurses can assess health literacy abilities. Although ... specific projects or ambulatory care research. The ... of Functional Health Literacy in Adults (TOFHLA ... to evaluating health literacy levels in busy ambulatory care settings. The ... NewsRx Health & Science
Article: UCSF team focuses on patient safety in ambulatory ... NewsRx Health & Science; August 30, 2009 ; 700+ words ... ... including individuals with limited English proficiency, limited health literacy, and those with other social vulnerabilities, such as ... food insecurity. The team notes that patients with limited health literacy and language barriers report greater problems across a range ... AAACN Viewpoint
Article: Health Literacy: What Are the Organizational ... AAACN Viewpoint; May 1, 2008 ; 700+ words ... ... instructions because of health literacy issues, concerned ... issues related to health literacy and its impact on ... a difference for ambulatory care staff and their patients ... The SIG developed a health literacy survey and asked ... AAACN Viewpoint
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