St. Vincent's Hospital, Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine, Orange, California, USA.
Kidney Int. 2022 Mar;101(3):432-440. doi: 10.1016/j.kint.2021.12.017. Epub 2022 Feb 1.
The high burden of kidney disease, global disparities in kidney care, and poor outcomes of kidney failure bring a concomitant growing burden to persons affected, their families, and carers, and the community at large. Health literacy is the degree to which persons and organizations have or equitably enable individuals to have the ability to find, understand, and use information and services to make informed health-related decisions and actions for themselves and others. Rather than viewing health literacy as a patient deficit, improving health literacy largely rests with health care providers communicating and educating effectively in codesigned partnership with those with kidney disease. For kidney policy makers, health literacy provides the imperative to shift organizations to a culture that places the person at the center of health care. The growing capability of and access to technology provides new opportunities to enhance education and awareness of kidney disease for all stakeholders. Advances in telecommunication, including social media platforms, can be leveraged to enhance persons' and providers' education; The World Kidney Day declares 2022 as the year of "Kidney Health for All" to promote global teamwork in advancing strategies in bridging the gap in kidney health education and literacy. Kidney organizations should work toward shifting the patient-deficit health literacy narrative to that of being the responsibility of health care providers and health policy makers. By engaging in and supporting kidney health-centered policy making, community health planning, and health literacy approaches for all, the kidney communities strive to prevent kidney diseases and enable living well with kidney disease.
肾脏疾病负担沉重,全球肾脏保健存在差异,肾衰竭治疗效果不佳,这些都给患者、患者家属和护理人员以及整个社会带来了沉重的负担。健康素养是指个人和组织拥有或公平地使个人能够获取、理解和使用信息和服务,以便为自己和他人做出明智的与健康相关的决策和行动的程度。提高健康素养不应将其视为患者的缺陷,而主要取决于医疗保健提供者能否与肾病患者合作,以共同设计的方式进行有效沟通和教育。对于肾脏疾病政策制定者而言,健康素养要求将组织转变为以患者为中心的医疗保健文化。技术的不断发展和普及为提高所有利益相关者对肾脏疾病的教育和认识提供了新的机会。远程通信的进步,包括社交媒体平台,可以用来加强患者和医护人员的教育;世界肾脏日宣布 2022 年为“全民肾脏健康”年,旨在促进全球合作,推进肾脏健康教育和素养方面的战略。肾脏疾病组织应努力将以患者为缺陷的健康素养叙事转变为医疗保健提供者和肾脏疾病政策制定者的责任。通过参与和支持以肾脏健康为中心的政策制定、社区卫生规划以及全民健康素养方法,肾脏疾病社区努力预防肾脏疾病,使患者能够与肾脏疾病共存并保持良好的生活状态。