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首页> 外文期刊>Journal of health communication >Health literacy and communication quality in health care organizations.
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Health literacy and communication quality in health care organizations.

机译：卫生保健组织的卫生素养和沟通质量。

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The relationship between limited health literacy and poor health may be due, in part, to poor communication quality within health care delivery organizations. We explored the relationship between health literacy status and receiving patient-centered communication in clinics and hospitals serving communication-vulnerable patient populations. Thirteen health care organizations nationwide distributed a survey to 5929 patients. All patients completed seven items assessing patient-centered communication. One third also completed three items assessing health literacy. The majority of patients had self-reported health literacy challenges, reporting problems learning about their medical condition because of difficulty understanding written information (53%), a lack of confidence in completing medical forms by themselves (61%), and needing someone to help them read hospital/clinic materials (57%). Logistic regression models showed that, after adjustment for patient demographic characteristics and health care organization type, patients with limited health literacy were 28% to 79% less likely than those with adequate health literacy to report their health care organization "always" provides patient-centered communication across seven communication items. Using a scaled composite of these items, limited health literacy remained associated with lower reported communication quality. These results suggest that improving communication quality in health care organizations might help to address the challenges facing patients with limited health literacy. They also highlight that efforts to address the needs of patients with limited health literacy should be sensitive to the range of communication challenges confronting these patients and their caregivers.
机译：健康素养有限与健康状况不佳之间的关系可能部分是由于医疗保健提供机构内部的沟通质量较差。我们探讨了健康素养状态与在服务于易受感染人群的诊所和医院中以患者为中心的交流之间的关系。全国13个卫生保健组织向5929名患者分发了一项调查。所有患者均完成了七个评估以患者为中心的交流的项目。三分之一还完成了评估健康素养的三个项目。大多数患者具有自我报告的健康素养挑战，由于难以理解书面信息（53％），缺乏对自己填写医疗表格的信心（61％）以及需要某人的帮助而报告了关于其医疗状况的问题。他们阅读医院/诊所材料（57％）。 Logistic回归模型显示，在根据患者的人口统计学特征和医疗机构类型进行调整之后，健康素养有限的患者比具有足够健康素养的患者报告“始终”以患者为中心的医疗组织的可能性要低28％至79％跨七个沟通项目的沟通。使用这些项目的按比例缩放的组合，仍然有限的健康素养与较低的报告沟通质量有关。这些结果表明，提高医疗机构的沟通质量可能有助于解决健康素养有限的患者所面临的挑战。他们还强调指出，满足健康素养有限的患者需求的努力应该对这些患者及其护理人员面临的一系列沟通挑战敏感。

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