Department of Pharmacy, University of Oslo, Oslo, Norway
Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway.
BMJ Open. 2022 Jun 9;12(6):e058473. doi: 10.1136/bmjopen-2021-058473.
When discharged from hospital patients are often assumed to have sufficient health literacy (HL) to participate in their medical treatment and manage medical self-care after discharge. However, limited HL is a widespread concern and patient participation during discharge is lacking. In this study, we explore how HL influences medication communication during hospital discharge.
A qualitative case study, comprising unstructured observations of patient-healthcare personnel (HCP) encounters followed by semistructured interviews. Data were analysed using content analysis.
An internal medicines ward at a university hospital in Norway.
Fifteen patients aged 40-89 years were included close to the day of discharge.
The following themes describing dimensions of HL emerged: (1) access, (2) understand, (3) appraise and (4) apply. Most patients sought access to medication information from HCP, while some felt dependent on HCP to provide it. However, their abilities to understand, evaluate and make informed decisions were challenged, partly because HCPs' ability to adapt their communication to the patient's knowledgebase varied.
The results give a broader understanding of how HL influences medication communication during hospital discharge. To consider central dimensions of HL is important to achieve optimal medication communication, as the communication only can be exercised within the frames of the patient's HL. The findings in this study support that HL should be described as a shared responsibility between the patients and HCP. Attention should be focused to the HCP's responsibility to adapt the communication to the patient's knowledgebase.
患者出院时，通常被认为具备足够的健康素养（HL）来参与他们的治疗，并在出院后管理医疗自我护理。然而，有限的 HL 是一个普遍存在的问题，患者在出院期间的参与度不足。在这项研究中，我们探讨了 HL 如何影响出院期间的药物沟通。
定性案例研究，包括对患者-医疗保健人员（HCP）相遇的非结构化观察，随后进行半结构化访谈。使用内容分析对数据进行分析。
挪威一所大学医院的内科病房。
15 名年龄在 40-89 岁的患者在接近出院日时被纳入研究。
出现了描述 HL 维度的以下主题：（1）获取，（2）理解，（3）评估和（4）应用。大多数患者从 HCP 处寻求药物信息，但有些患者则依赖 HCP 提供信息。然而，他们理解、评估和做出明智决策的能力受到了挑战，部分原因是 HCP 适应患者知识基础的沟通能力存在差异。
研究结果更全面地了解了 HL 如何影响出院期间的药物沟通。考虑 HL 的核心维度对于实现最佳药物沟通很重要，因为沟通只能在患者 HL 的范围内进行。本研究的结果支持 HL 应被视为患者和 HCP 之间的共同责任。应关注 HCP 适应患者知识基础的沟通责任。
