Duke University Eye Center, Durham, North Carolina 27710, USA.
Surv Ophthalmol. 2010 Sep-Oct;55(5):454-9. doi: 10.1016/j.survophthal.2010.03.005. Epub 2010 Jul 21.
In 1997, Ebrahimzadeh, Davalos, and Lee wrote in this journal that only 32% of the ophthalmic patient educational materials reviewed were written at or below the recommended eighth-grade reading level. Since that time, the National Assessment of Adult Literacy found that more than one-third of adult Americans possess only basic or below basic health literacy skills, defined as the ability to understand written information in a healthcare setting. Subsequently, investigators have shown that poor health literacy skills are associated with poor prescription medication adherence, increased hospital admissions, and increased mortality. We review the readability of currently available ophthalmic educational materials, with particular attention to the health literacy status of the patient population for which the materials are intended. Examples of prose at various readability levels are provided. Optimizing patient education and improving clinical outcomes requires understanding the attributes that the patient brings to the patient-physician relationship, including health literacy.
1997 年，Ebrahimzadeh、Davalos 和 Lee 在本刊撰文指出，所审查的眼科患者教育材料中，仅有 32%的材料写作水平达到或低于建议的八年级阅读水平。自那时以来，美国国家成人识字能力评估发现，超过三分之一的美国成年人只具备基本或以下的健康素养技能，这一技能被定义为在医疗保健环境中理解书面信息的能力。随后，研究人员表明，健康素养技能差与处方药物依从性差、住院率增加和死亡率增加有关。我们回顾了目前可用的眼科教育材料的可读性，特别关注这些材料所针对的患者人群的健康素养状况。提供了不同可读性水平的散文示例。优化患者教育和改善临床结局需要了解患者在医患关系中带来的属性，包括健康素养。
