University of California-San Diego (UCSD) Skaggs School of Pharmacy and Pharmaceutical Sciences, 9500 Gilman Drive, La Jolla, CA 92093, USA.
Res Social Adm Pharm. 2012 Jul-Aug;8(4):349-54. doi: 10.1016/j.sapharm.2011.08.001. Epub 2011 Dec 1.
Published literature on assessing the functional health literacy (FHL) level of patients in pharmacy practice is lacking.
To assess FHL in an outpatient pharmacy setting and the associations between FHL and patient recall of medications.
In a cross-sectional study of 79 English-speaking adults recruited from 3 outpatient pharmacies, patients were given the Short Test of Functional Health Literacy in Adults and asked to recall their medication names, dosages, frequencies, and indications. Patients' responses were compared with pharmacy records (medication name, dosage, frequency) and Facts and Comparisons (indication).
Of the 79 patients, 27 had inadequate FHL. Correct medication names were recalled less frequently by patients with inadequate FHL compared with patients with adequate FHL (60% vs 84%, P<.001). Similarly, correct dosages (71% vs 83%, P=.03) and frequencies (62% vs 85%, P<.001) were reported less often by patients with inadequate FHL. There was no significant difference in the frequency of correct indications for medications between the 2 groups.
Inadequate FHL is associated with poor recall of correct medication name, dosage, and administering frequency. Future research to evaluate the effect of pharmacists on improving patients' recall of medication name, dosage, and frequency is warranted.
在药学实践中评估患者功能性健康素养（FHL）水平的已发表文献较少。
评估门诊药房环境中的 FHL 以及 FHL 与患者对药物的回忆之间的关联。
在一项对 79 名从 3 家门诊药房招募的讲英语的成年人进行的横断面研究中，患者接受了成人功能性健康素养简短测试，并被要求回忆他们的药物名称、剂量、频率和适应症。将患者的回答与药房记录（药物名称、剂量、频率）和 Facts and Comparisons（适应症）进行比较。
在 79 名患者中，有 27 名患者的 FHL 不足。与具有足够 FHL 的患者相比，FHL 不足的患者回忆正确的药物名称的频率较低（60%对 84%，P<.001）。同样，FHL 不足的患者报告的正确剂量（71%对 83%，P=.03）和频率（62%对 85%，P<.001）也较低。2 组患者对药物适应症的正确回忆频率没有显著差异。
FHL 不足与正确回忆药物名称、剂量和给药频率的能力较差有关。未来有必要评估药剂师对改善患者对药物名称、剂量和频率的回忆能力的影响的研究。
