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The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study

机译：医疗保健服务频繁用户卫生素养与患者激活的关系：横断面研究

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Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The relationship between health literacy and patient activation remains to be explored. The aim of this study was to examine the association between health literacy and patient activation in a population of frequent users of healthcare services with chronic diseases. Cross-sectional data were collected (before randomization) through a clinical trial evaluating a case management intervention in primary care. Participants (n?=?247) were recruited from the list of frequent users of 4 Family Medicine Groups (FMG) in the Saguenay-Lac-St-Jean region of Québec (Canada). They completed questionnaires by self-report during an encounter with a research assistant: (1) the Newest Vital Sign (NVS) to evaluate health literacy (independent variable); and (2) the Patient Activation Measure-13 (PAM-13) to evaluate patient activation (dependent variable). The relationship between health literacy and activation was examined using biserial correlations. No association was found between health literacy (independent variable) and patient activation (rb?=?0.075, ρ?=?0.07) for this population of frequent users of healthcare services. This study suggests that there is no relationship between health literacy and patient activation among frequent users of healthcare services. NCT01719991 . Registered October 25, 2012.
机译：医疗保健服务的频繁用户是一种脆弱的人口，由于高成本和较低的生活质量和较高死亡率等高成本和负面成果而受到关注。医疗保健系统应提供针对他们的需求和他们的健康识字程度量身定制的干预措施，包括促进激活的策略。卫生素养与患者激活之间的关系仍有待探索。本研究的目的是审查医疗保健服务频繁使用者患有慢性疾病的频繁使用者患者卫生素质和患者激活之间的关联。通过在初级保健中评估案例管理干预的临床试验来收集横截面数据（在随机化之前）。参与者（N？=？247）是Québec（加拿大）的4个家庭医学群（FMG）的频繁用户频繁用户名单中招募。他们在与研究助理期间通过自我报告完成调查问卷：（1）评估健康识字（独立变量）的最新生命体征（NVS）; （2）患者激活测量-13（PAM-13）评估患者激活（依赖变量）。使用BISERIAL相关检查健康识字率和激活之间的关系。卫生识字（独立变量）和患者激活之间没有发现任何关联（RB？= 0.075，ρ？0.07），用于该频繁使用医疗保健服务。本研究表明，医疗保健服务频繁使用者之间的卫生素养与患者激活之间没有关系。 nct01719991。注册2012年10月25日。

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