Bacon Opal, Vandenberg Amy, May Meghan E
PharmD, BCPS. Department of Pharmacy Practice, Wayne State University. Detroit, MI (United States).
PharmD, BCPP. Department of Pharmacy, University of Michigan Health System. Ann Arbor, MI (United States).
Pharm Pract (Granada). 2017 Apr-Jun;15(2):908. doi: 10.18549/PharmPract.2017.02.908. Epub 2017 Jun 30.
Inadequate health literacy in adults is a nationwide issue that is associated with worse health outcomes. There is a paucity of literacy regarding rates of inadequate health literacy in psychiatric populations.
The aim of the study was to identify an existing tool that would easily identify patients who had inadequate health literacy, so that a targeted intervention could be performed. Secondarily we attempted to compare rates of inadequate health literacy with providers' perception of patients' health literacy.
We assessed health literacy in a psychiatric population by administering the Brief Health Literacy Survey (BHLS). Additionally, all psychiatry residents, psychiatrists, nurse practitioners, pharmacists, and social workers were surveyed to assess their perception of patient health literacy. Differences between patient health literacy and provider expectations of patient health literacy were compared.
Inadequate health literacy was identified in 31 out of 61 patients (50.8%) using 2 questions from the BHLS. Only 9 (29%) of patients who were identified as having inadequate health literacy were identified by both BHLS questions. In contrast, almost 100% of providers identified their patients, in general, as having inadequate health literacy.
These results identify a higher rate of health literacy in a psychiatric inpatient population than in the general population. However, providers at this institution likely over-identify health literacy. This highlights the need for a health literacy tool that can easily target patients with inadequate health literacy for an intervention.
成年人健康素养不足是一个全国性问题，与较差的健康结果相关。关于精神科人群健康素养不足发生率的文献资料匮乏。
本研究的目的是确定一种现有的工具，该工具能够轻松识别健康素养不足的患者，以便进行有针对性的干预。其次，我们试图比较健康素养不足的发生率与医护人员对患者健康素养的认知情况。
我们通过实施简短健康素养调查问卷（BHLS）来评估精神科人群的健康素养。此外，我们对所有精神科住院医师、精神科医生、执业护士、药剂师和社会工作者进行了调查，以评估他们对患者健康素养的认知。比较了患者健康素养与医护人员对患者健康素养期望之间的差异。
使用BHLS中的两个问题，在61名患者中有31名（50.8%）被确定为健康素养不足。在被确定为健康素养不足的患者中，只有9名（29%）通过BHLS的两个问题都被识别出来。相比之下，几乎100%的医护人员认为他们的患者总体上健康素养不足。
这些结果表明，精神科住院患者的健康素养率高于普通人群。然而，该机构的医护人员可能过度判断了健康素养情况。这凸显了需要一种健康素养工具，能够轻松地针对健康素养不足的患者进行干预。
