Coleman Clifford A, Fromer Amber
Department of Family Medicine, Oregon Health & Science University.
Fam Med. 2015 May;47(5):388-92.
Health literacy is a key factor in communication between patients and health care professionals of all kinds. Improving the training of health professionals about patients' health literacy is a national priority that remains understudied. We sought to examine the effects of a health literacy training on physicians and nonphysician health professionals.
We used a pre-/post-intervention self-reported assessment of knowledge, perceived skills, and current and intended behaviors vis-à-vis communicating with patients who have limited health literacy to evaluate the effects of a 3.5-hour health literacy training intervention designed to improve communication with such patients for the entire staff of a single family medicine residency program clinic.
A total of 58 health professionals participated. Complete data were available for 45 individuals (11 physicians and 34 nonphysicians). Forty-eight percent reported having initially overestimated their pre-training understanding of health literacy issues. Mean ratings significantly improved on all 12 knowledge, perceived skill, and intended behavior items. Results varied by health profession, with physicians reporting less positive change on several items. Among physicians, the training impact varied by years of experience.
Health literacy training for health professionals can improve self-perceived knowledge, skills, and intended behaviors, but results may vary between physicians and nonphysician health professionals and by years of experience. More research is needed to identify ideal instructional strategies for teaching health professionals about health literacy.
健康素养是各类患者与医疗保健专业人员之间沟通的关键因素。加强对医疗专业人员有关患者健康素养方面的培训是一项国家重点工作，但仍有待深入研究。我们试图探讨健康素养培训对医生和非医生医疗专业人员的影响。
我们采用干预前后自我报告的方式，评估在与健康素养有限的患者沟通方面的知识、感知技能以及当前和预期行为，以评估一项为时3.5小时的健康素养培训干预措施的效果，该干预旨在改善一家单一家庭医学住院医师培训项目诊所全体员工与这类患者的沟通。
共有58名医疗专业人员参与。45人（11名医生和34名非医生）有完整数据。48%的人报告最初高估了他们培训前对健康素养问题的理解。在所有12项知识、感知技能和预期行为项目上，平均评分显著提高。结果因医疗专业而异，医生在几个项目上报告的积极变化较少。在医生中，培训影响因经验年限而异。
对医疗专业人员进行健康素养培训可提高自我感知的知识、技能和预期行为，但医生和非医生医疗专业人员之间以及不同经验年限的结果可能有所不同。需要更多研究来确定教授医疗专业人员健康素养的理想教学策略。
