Andresen May-Lynn, Rosof Bernard M, Arteaga Helen
QHC Advisory Group, U.S.A.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
Stud Health Technol Inform. 2020 Jun 25;269:52-64. doi: 10.3233/SHTI200022.
This chapter discusses the notion of 'bidirectional health literacy' between the patient/care partner and the care team, and its impact on the quadruple aim: the care experience, population health, engagement, and the cost of care. It provides a brief historical perspective of the quadruple aim along with its relationships to value and health literacy. It overviews the responsibilities of health care organizations and highlights best practices, such as bidirectional care opportunities in patient-centered medical homes, with a focus on improving provider and care team communication. The chapter's aim is to provide a new bidirectional perspective on health literacy. It illuminates for readers that the focus of health literacy should not just be about patients' understanding of and engagement in their own health and health care, but instead, a partnership where care teams become equally 'literate' about the patient/care partner, by learning what they value, the contextual and social determinants that impact their ability to engage in self-care, and by demonstrating cultural humility in all of their care efforts. Various models that support bidirectional literacy and care are provided.
本章讨论了患者/护理伙伴与护理团队之间“双向健康素养”的概念，及其对四重目标的影响：护理体验、人群健康、参与度和护理成本。本章简要介绍了四重目标的历史背景及其与价值和健康素养的关系。概述了医疗保健组织的职责，并强调了最佳实践，如以患者为中心的医疗之家的双向护理机会，重点是改善医疗服务提供者和护理团队之间的沟通。本章旨在提供一个关于健康素养的新的双向视角。它向读者阐明，健康素养的重点不应仅仅是患者对自身健康和医疗保健的理解与参与，相反，应是一种伙伴关系，即护理团队通过了解患者/护理伙伴所重视的内容、影响其自我护理能力的背景和社会决定因素，并在所有护理工作中展现文化谦逊，从而同样“了解”患者/护理伙伴。本章还提供了支持双向素养和护理的各种模式。
