Promoting Health Literacy to Encourage Prevention and Wellness Workshop Summary (2011) / Chapter Skim
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Pages 13-26
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From page 13... ...
Gould said he spends his time in primary prevention, and, from a social marketer's perspective, defines health literacy as the effective engagement of the public in getting and staying healthy. He has worked on social marketing projects such as developing campaigns for hypertension, cholesterol, and the Food Guide Pyramid.
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From page 14... ...
Clinicians focus on reliable and effective delivery of care, and they are increasingly turning to public health methods of quality measurement and improvement to enhance performance. The National Initiative for Children's Healthcare Quality places a major focus on childhood obesity and on applying the principles of qual ity improvement in both clinical and community settings, Homer said.
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From page 15... ...
In the clinical context, health literacy can help primary preven tion efforts by helping people understand risks and benefits, understand the actions they have to take, and potentially, enhance motivation. In secondary and tertiary prevention, health literacy efforts can be aimed at helping people prevent complications or worsening conditions.
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From page 16... ...
In obesity, what is particularly helpful to is to have health navigators understand the complex set of community resources and help individuals access them, rather than helping individuals obtain access to primary care services. The issue of provider training is also addressed in the commissioned paper and is absolutely essential, Homer said.
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From page 17... ...
, many of which specifically address issues of literacy and cultural linguistic appropriateness for interventions, outreach, education and social marketing strategies. For example, in Massachusetts, a recently funded program to improve breast and cervical cancer service delivery through the WISEWOMAN program included a health literacy training component for community health workers, who act as patient naviga tors or care coordinators for the patients receiving care through federally funded community health centers and safety-net sites.
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From page 18... ...
children than set up scorecards and other devices that may throw the onus of understanding complex information on the patient rather than on the health provider. The paper's recommendation "to develop, test, and implement health communication approaches to advance wellness and prevention so that skills and abilities of the population can be aligned with the demands and complexity of the tasks required for health" places an additional burden on programs that are currently underfunded and understaffed, Yohe said.
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From page 19... ...
Ruth Parker, a member of the Roundtable said that the research and intervention efforts of the past decade demonstrate that what people are being asked to do is really difficult for a number of complex reasons that relate to the environment, the culture, and the tasks of everyday living. What, she asked, is the common ground for health literacy that all can agree on?
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From page 20... ...
RADM Slade-Sawyer said that perhaps the focus should not be on communicating the need for good health simply for the sake of health alone, but also because health is the number-one resource needed to live one's life the way one wants to live. Healthy People 2020 has broadened its focus to include the social determinants of health, examining policies in many domains that contribute to health such as transportation, labor, and environmental domains.
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From page 21... ...
Pediatricians and family physicians thought they were doing a great job talking to families about risks and benefits and why car seats were such a wonderful thing, but what really changed behavior was the passage of legislation that required car seats. This demonstrates that it is crucial, when talking about health literacy and prevention, to include the need for an informed public that can make policy choices that will influence positive behaviors.
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From page 22... ...
It seems important, therefore, to begin to focus more on the social determinants of health when deciding how to measure health, Isham said, and he noted that the IOM report, State of the USA Health Indicators (2009) described efforts in this area.
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From page 23... ...
With developing health information technology, it should be possible to develop decision support systems that take the guidelines into account. The guidelines could also be used to ensure that health professional training focuses on topics and interventions that relate to the behaviors and actual causes of death, Isham said.
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From page 24... ...
Becky Smith, executive director of the American Association for Health Education, said that the National Health Education Standards K-12: Achieving Health Literacy was established in 1995. The standards identify health literacy skills and abilities as well as assessments for determin ing how well students have attained those skills.
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From page 25... ...
Isham pointed out that there is real opportunity for integration with the six priorities of the National Quality Forum and the National Priority Partnership. These priorities are patient and family engagement, population health, safety, care coordination, palliative and end-of-life care, and overuse.
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