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健康素养:见解与问题。

Health Literacy: Insights and Issues.

作者信息

Rudd Rima E

机构信息

Harvard T.H. Chan School of Public Health, U.S.A.

出版信息

Stud Health Technol Inform. 2017;240:60-78.

Abstract

Definitions, by their very nature, establish a shared understanding of words and concepts but also set parameters for inquiry and measures. Health literacy, a term that emerged in the 1990s, has been defined in numerous ways over time and is still considered an evolving concept. This chapter provides a discussion of the difficulties inherent in restricted definitions that have led to research gaps. The discussion highlights the need for an expanded understanding of health literacy and it identifies missing elements. A call for new measures includes attention to a full range of literacy skills including calibrations of health professionals' communication skills. In addition, it argues for an in-depth understanding of health-related tasks and texts that will yield insights for a more thorough analysis of links between and among literacy skills, health system demands, and health outcomes. Finally, this chapter presents an argument for a careful consideration of institutional and system wide norms, policies, and regulations that facilitate or impede access to health information, services, and care. As the definition of health literacy expands so too can the scope and depth of health literacy research, practice implementation, and public policy.

摘要

就其本质而言,定义不仅能建立对词语和概念的共同理解,还能为探究和衡量设定参数。健康素养这一术语于20世纪90年代出现,随着时间的推移,其定义方式多种多样,至今仍被视为一个不断演变的概念。本章讨论了受限定义所固有的困难,这些困难导致了研究空白。讨论强调了对健康素养进行更广泛理解的必要性,并指出了缺失要素。呼吁采取新的衡量方法,包括关注一系列全面的素养技能,其中校准卫生专业人员的沟通技能。此外,本章主张深入理解与健康相关的任务和文本,以便更透彻地分析素养技能、卫生系统需求和健康结果之间的联系。最后,本章提出应仔细考虑促进或阻碍获取健康信息、服务和护理的机构和全系统规范、政策及法规。随着健康素养定义的扩展,健康素养研究、实践实施和公共政策的范围和深度也能得到拓展。

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