Department of Communication, University at Albany, State University of New York.
Health Commun. 2023 Jun;38(7):1359-1372. doi: 10.1080/10410236.2021.2010328. Epub 2021 Dec 12.
Health literacy is an important social determinant of health. Achieving health literacy of immigrants can be critical to empower this disadvantaged population in healthcare communication. However, to achieve this goal, it is a prerequisite to examine the relationship between health literacy and patient engagement in healthcare communication. This systematic review conceptualizes behavioral, emotional, and cognitive dimensions of patient engagement in healthcare communication and examines how health literacy and patient engagement among immigrants shape each other. A systematic review was conducted to identify relevant articles from five databases between 2010 and 2020. The reviewers synthesized findings from 15 articles that met the inclusion criteria. The results indicate that communication researchers should be more attentive to the emotional dimension of patient engagement in healthcare communication and that more empirical studies are needed to evaluate the relationship between health literacy and patient engagement among immigrants. Practical implications and recommendations for future research are discussed.
健康素养是健康的一个重要社会决定因素。实现移民的健康素养对于增强这一弱势群体在医疗保健沟通中的能力至关重要。然而，要实现这一目标，首先要研究健康素养与患者参与医疗保健沟通之间的关系。本系统评价从行为、情感和认知三个维度来理解患者在医疗保健沟通中的参与度，并考察移民的健康素养和患者参与度如何相互影响。该系统评价从五个数据库中检索了 2010 年至 2020 年间的相关文章，共纳入了 15 篇符合条件的文章。结果表明，沟通研究人员应该更加关注患者在医疗保健沟通中的情感维度，需要更多的实证研究来评估移民的健康素养和患者参与度之间的关系。讨论了对未来研究的实际意义和建议。
