健康に関する知識が限られている患者のケア:複数の健康上の問題を抱えた76歳の男性
1Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts, USA. mpo@bu.edu
JAMA
|August 11, 2011
まとめ
健康に関する識字は,情報に基づいた健康に関する意思決定に影響を与えます. 臨床医は,ケアを簡素化し,すべての患者が自己ケアに関する重要な情報を理解することを保証するために,普遍的に学習方法を使用する必要があります.
科学分野:
- 健康リテラシー研究 保健リテラシー研究
- 患者教育についてです.
- ヘルスケアコミュニケーションは,ヘルスケアに関するコミュニケーションです.
背景:
- 健康に関する識字は,情報に基づいた健康に関する意思決定と行動に不可欠です.
- 健康に関する識字が限られていることは,医療における大きな課題となっています.
- 患者の理解を理解することは,効果的なケアに不可欠です.
研究 の 目的:
- 患者の物語と医師の物語を用いて,健康に関する識字が限られていることに伴う課題を図解する.
- 健康に関する知識が限られている患者を支援するための臨床医のための戦略を提案する.
- 健康に関する識字に関する選択的スクリーニングではなく,普遍的な予防アプローチを提唱する.
主な方法:
- 患者と医師の物語の質的分析.
- 健康に関する知識が限られている患者の管理における課題を例示したケーススタディ.
- 患者の理解を改善するための臨床戦略の議論.
主要な成果:
- 健康に関する知識が限られていることにより,医療情報や治療法の理解が難しくなります.
- 臨床医は,治療法と医療制度を簡素化することで問題を軽減することができます.
- Teach-backの方法は,患者の理解を評価し,向上させるのに有効です.
結論:
- 普遍的な予防アプローチは,すべての患者の健康に関する識字のニーズが満たされていることを保証します.
- 介護の簡素化と反復指導の方法を使うことは,理解の改善の鍵です.
- 保健識字のニーズを特定し,対処することは,すべての患者にとって普遍的な利益をもたらします.
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