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首页> 外文期刊>Health affairs >Analysis & commentary: A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care
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Analysis & commentary: A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care

机译：分析与评论：拟议的“健康素养护理模型”将构成改善患者参与护理的系统方法

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摘要

Improving health outcomes relies on patients' full engagement in prevention, decision-making, and self-management activities. Health literacy, or people's ability to obtain, process, communicate, and understand basic health information and services, is essential to those actions. Yet relatively few Americans are proficient in understanding and acting on available health information. We propose a Health Literate Care Model that would weave health literacy strategies into the widely adopted Care Model (formerly known as the Chronic Care Model). Our model calls for first approaching all patients with the assumption that they are at risk of not understanding their health conditions or how to deal with them, and then subsequently confirming and ensuring patients' understanding. For health care organizations adopting our model, health literacy would then become an organizational value infused into all aspects of planning and operations, including self-management support, delivery system design, shared decision-making support, clinical information systems to track and plan patient care, and helping patients access community resources. We also propose a measurement framework to track the impact of the new Health Literate Care Model on patient outcomes and quality of care.
机译：改善健康状况取决于患者充分参与预防，决策和自我管理活动。健康素养或人们获得，处理，交流和理解基本健康信息和服务的能力，对于这些行动至关重要。但是，相对而言，只有少数美国人精通了解可用的健康信息并采取行动。我们提出了一种健康素养护理模型，该模型可以将健康素养策略纳入广泛采用的护理模型（以前称为慢性护理模型）中。我们的模型要求首先以假设他们有不了解其健康状况或如何应对的风险来对待所有患者，然后再确认并确保患者的理解。对于采用我们模型的医疗保健组织，健康素养将成为一种融入计划和运营各个方面的组织价值，包括自我管理支持，交付系统设计，共享决策支持，用于跟踪和计划患者护理的临床信息系统，并帮助患者获取社区资源。我们还提出了一个衡量框架，以跟踪新的健康素养护理模型对患者结果和护理质量的影响。

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