了解的指导路径:患者导航可以提高菲律宾成年人的健康素养吗?
Cristela Mae C Candelario1,2, Eleanor C Castillo1
1Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 670 Padre Faura St, Ermita, Manila, 1000 Metro Manila, Philippines.
Health promotion international
|February 10, 2025
概括
患者导航服务显著提高了菲律宾成年人的健康素养. 这种以患者为中心的方法增强了医疗保健的获取,理解,评估和健康信息的应用,促进了健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生识字 卫生识字
- 患者导航 患者导航
背景情况:
- 患者导航显示了改善医疗保健准入和信息传播的前景.
- 它对发展中国家贫困人口的健康素养的影响尚未得到充分研究.
- 这项研究通过评估菲律宾的患者导航来弥补这一差距.
研究的目的:
- 评估患者导航服务在提高健康素养方面的有效性.
- 评估健康素养的四个关键层面的改进:获取,理解,评估和应用.
主要方法:
- 在2个月的时间里,采用了一组准实验性前测试后测试设计.
- 在菲律宾的一家三级医院通过随机抽样招募了105名参与者.
- 干预包括对获得医疗保健,信息,安排和转诊的个性化指导;使用研究人员开发的问卷评估健康素养.
主要成果:
- 在所有四个健康素养维度中都观察到显著的改善 (P < .001).
- 获取:增加寻找信息的能力 (18%至35%) 和易于获取 (16%至34%).
- 了解:更好地理解提供者信息 (20%至39%) 和了解风险/收益 (21%至38%).
- 评估:对准确性的评估 (22%至36%) 和提出相关问题 (24%至39%) 的改进.
- 应用:提高了做出明智决策 (25%至35%) 和采取健康行动 (23%至37%) 的能力.
结论:
- 患者导航服务有效地提高了菲律宾成年人的健康素养.
- 这种以患者为中心的方法表明了在类似的环境中促进健康公平的潜力.
- 研究结果支持整合患者导航以解决健康差异.
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