Groene Oana R, Wills Jane, Crichton Nicola, Rowlands Gill, Rudd Rima R
a School of Health and Social Care, London South Bank University , London , UK.
b Institute of Health and Society, Newcastle University , Newcastle upon Tyne , UK.
Educ Prim Care. 2017 Sep;28(5):274-281. doi: 10.1080/14739879.2017.1327332. Epub 2017 May 19.
Health literacy studies have primarily focused on the cognitive and social skills of individuals needed to gain access to, understand, and use health information. This area of study is undergoing a paradigm shift with increased attention being paid to the skills of practitioners and an examination of their contribution to the link between literacy and health outcomes. The aim of this study was to describe the health literacy related competencies of General Practice (GP) trainees who will soon be responsible for the clinical encounter.
A cross-sectional survey of a convenience sample of 206 GP trainees was conducted online. Univariate and bivariate analysis methods were used to describe GP trainees' health literacy-related competencies.
GP trainees overestimated the numeracy and literacy levels of the English population and did not regard the improvement of patient health literacy as a GP responsibility. GP trainees rated their general communication skills highly but the skills that are important for patients in health decision-making such as coaching skills, explaining risk and using visual aids to clarify were rated low.
This study demonstrates that health literacy is insufficiently addressed in the undergraduate and postgraduate medical education of GPs to enable them to fulfil the core competence which is part of building an effective partnership with patients.
健康素养研究主要集中在个人获取、理解和使用健康信息所需的认知和社交技能上。随着对从业者技能的关注度不断提高以及对他们在素养与健康结果之间联系方面贡献的审视,这一研究领域正在经历范式转变。本研究的目的是描述即将负责临床诊疗的全科医学(GP)实习生与健康素养相关的能力。
对206名GP实习生的便利样本进行了在线横断面调查。采用单变量和双变量分析方法来描述GP实习生与健康素养相关的能力。
GP实习生高估了英国人群的算术和读写水平,并且不认为提高患者的健康素养是GP的职责。GP实习生对自己的一般沟通技能评价很高,但对患者健康决策很重要的技能,如指导技能、解释风险和使用视觉辅助工具进行说明等,评价较低。
本研究表明,在GP的本科和研究生医学教育中,对健康素养的关注不足,无法使他们履行与患者建立有效伙伴关系所需的核心能力。