患者教育材料:提高可读性,促进健康公平
Amos Grünebaum1, Susan L Pollet1, Renee McLeod-Sordjan2
1Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.
Journal of perinatal medicine
|July 25, 2025
概括
美国妇产科医生学院 (ACOG) 的患者教育小册子太难阅读,在25年内恶化. 这阻碍了获得重要健康信息的机会,并加剧了孕产妇健康差异.
科学领域:
- 卫生识字 卫生识字
- 孕产妇的健康差异
- 患者教育 患者教育
背景情况:
- 患者教育材料对于明智的医疗保健决策至关重要.
- 健康素养是健康的重要社会决定因素.
- 现有研究表明,在获得可理解的健康信息方面存在潜在的差异.
研究的目的:
- 评估美国妇产科医生学院 (ACOG) 患者教育小册子的可读性.
- 为了评估过去25年来小册子可读性的变化.
- 确定可读性对孕产妇健康差异的影响.
主要方法:
- 我们对134份ACOG患者手册进行了横截面分析.
- 使用了五个经过验证的可读性指标:Flesch阅读方便性,SMOG指数,枪雾指数,科尔曼-利乌指数和Bormuth等级放置.
- 使用DISCERN工具评估了小册子质量,结果与1999年的数据进行了比较.
主要成果:
- 传单显示出优秀的内容质量 (平均DISCERN分数为65.6/75).
- 然而,可读性是一个障碍,平均成绩水平为9.5,只有2.2-6.7%符合推标准 (≤8年级).
- 在过去的25年里,可读性恶化了,增加了1.0-3.7级.
结论:
- 对于一般人群来说,ACOG患者教育材料总是过于复杂.
- 这种难以接近的状况导致健康差异,特别是那些健康素养较低的人.
- 采用简单的语言政策和可读性审计对于改善孕产妇健康平等至关重要.
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