将健康素养与健康结果联系起来的因果路径。
The causal pathways linking health literacy to health outcomes.
作者信息
Paasche-Orlow Michael K, Wolf Michael S
机构信息
Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston University Medical Center, Boston, MA 02118, USA.
出版信息
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S19-26. doi: 10.5555/ajhb.2007.31.supp.S19.
OBJECTIVE
To provide an evidence-based review of plausible causal pathways that could best explain well-established associations between limited health literacy and health outcomes.
METHODS
Through analysis of current findings in medical and public health literature on health literacy we derived a conceptual causal model.
RESULTS
Health literacy should be viewed as both a patient and a system phenomenon. Three distinct points along a continuum of health care are suggested to be influenced by health literacy: (1) access and utilization of health care, (2) patient-provider relationship, and (3) self-care.
CONCLUSIONS
The conceptual model organizes what has been learned to date and underscores promising areas of future inquiry and intervention.
目的
对可能最能解释有限健康素养与健康结果之间已确立关联的合理因果途径进行循证综述。
方法
通过分析医学和公共卫生文献中关于健康素养的当前研究结果，我们得出了一个概念性因果模型。
结果
健康素养应被视为既是患者现象又是系统现象。在连续的医疗保健过程中，有三个不同点被认为会受到健康素养的影响：（1）医疗保健的获取和利用，（2）医患关系，以及（3）自我保健。
结论
该概念模型整理了迄今为止所学到的知识，并强调了未来研究和干预的有前景领域。
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