与健康的社会决定因素相关的健康素养的作用和基于信息学的干预措施的建议:系统性审查
Shwetha Bindhu1,2, Anunita Nattam1, Catherine Xu1
1College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
健康素养 (HL) 是明智的健康决策的关键. 了解其与健康的社会决定因素 (SDoH) 的联系,并使用信息学,可以减少差异,并改善患者对健康信息的理解.
科学领域:
- 医疗信息学 医疗信息学
- 卫生识字研究 研究 卫生识字研究
- 健康的社会决定因素
背景情况:
- 健康素养 (HL) 赋予了知情的健康决策.
- 增加数字健康信息需要了解HL的作用以及健康的社会决定因素 (SDoH).
- 信息技术可以减轻与HL和SDoH相关的健康差异.
研究的目的:
- 系统地审查HL与SDoH的相互作用.
- 确定基于HL的干预措施,以改善患者的理解.
- 通过更好的理解来提高临床笔记共享的有效性.
主要方法:
- 对Scopus和PubMed的系统文献综述.
- 对HL和SDoH的英语文章的分析.
- 研究特征的定量分析和干预的定性综合.
主要成果:
- 分析了43篇文章,揭示了HL与SDoH的复杂关系.
- 大多数研究 (n=23) 将HL确定为SDoH的结果.
- 其他研究表明HL作为媒介 (n=6) 或可修改的SDoH (n=14).
结论:
- HL的多变量性质支持各种干预措施,以了解低患者的理解.
- 基于信息技术的解决方案提供了潜力,有4个确定的干预措施.
- 改善HL对于提高患者对健康信息的理解至关重要,包括临床笔记.
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