健康素养与医疗保健服务利用关系的研究进展
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摘要
目的总结健康素养与预防性医疗保健服务、门诊服务、住院服务和急诊服务利用关系的研究进展。方法在Pub Med、Web of Science、CNKI、万方和维普数据库,以"健康素养"、"医疗保健服务"、"预防性医疗保健服务"、"门诊服务"、"住院服务"、"急诊服务"、"利用"为主题词或关键词,同时辅以手工检索和文献追溯检索近5年相关文献。着重整理各类医疗保健服务利用的具体衡量指标,不同特征群体的健康素养与医疗保健服务利用衡量指标关系的研究结论,以及两者间的潜在中介变量。按照医疗保健服务利用的4个方面对资料进行汇总并撰写综述。结果检索并阅读相关文献70余篇。结论健康素养与特殊群体(老年人、产妇)的预防性医疗保健服务利用以及部分慢性病患者的住院和急诊服务利用相关;与门诊服务利用的关系尚无一致结论;疾病相关知识和药物依从性、自我照护和医疗保健可及性可能是健康素养影响医疗保健服务利用的中介变量。
Objective To summarize the research progress in the relationship between health literacy and use of preventive care,visits to clinics,use of hospitalizations and emergency services,respectively. Methods The related literatures in the past five years were retrieved with subjects or keywords "health literacy","healthcare utilization","preventive care","outpatient physician services","hospitalization","emergency services","utilization"in Pub Med,Web of Science,CNKI,Wan Fang and Chongqing VIP database. Manual retrieval and literature tracing were used for supplement. The indicators of various healthcare utilization,the research conclusions of the relationships between health literacy and indicators of various healthcare utilization in groups with different characteristics,and the potential mediators between the two aspects were emphatically sorted out. Data was summarized and the article was written in accordance with four aspects of the healthcare utilization. Results More than 70 articles were searched and read. Conclusion Health literacy is related to the use of preventive care among special groups( the elderly and the maternal) and associated with the use of hospitalizations and emergency services among some patients with chronic diseases. There is no consistent conclusion in the association between health literacy and visits to clinics. The possible mediators of the impacts of health literacy on healthcare utilization include disease-related knowledge and medication adherence,self-care and access to medical care.
Objective To summarize the research progress in the relationship between health literacy and use of preventive care,visits to clinics,use of hospitalizations and emergency services,respectively. Methods The related literatures in the past five years were retrieved with subjects or keywords "health literacy","healthcare utilization","preventive care","outpatient physician services","hospitalization","emergency services","utilization"in Pub Med,Web of Science,CNKI,Wan Fang and Chongqing VIP database. Manual retrieval and literature tracing were used for supplement. The indicators of various healthcare utilization,the research conclusions of the relationships between health literacy and indicators of various healthcare utilization in groups with different characteristics,and the potential mediators between the two aspects were emphatically sorted out. Data was summarized and the article was written in accordance with four aspects of the healthcare utilization. Results More than 70 articles were searched and read. Conclusion Health literacy is related to the use of preventive care among special groups( the elderly and the maternal) and associated with the use of hospitalizations and emergency services among some patients with chronic diseases. There is no consistent conclusion in the association between health literacy and visits to clinics. The possible mediators of the impacts of health literacy on healthcare utilization include disease-related knowledge and medication adherence,self-care and access to medical care.
引文
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[17]Valerio MA,Peterson EL,Wittich AR.Examining health literacy among urban African-American adolescents with asthma[J].Journal of Asthma,2016,53(10):1041-1047.
[18]Taylor DM,Fraser S,Dudley C,et al.Health literacy and patient outcomes in chronic kidney disease:a systematic review[J].Nephrology Dialysis Transplantation,2018,33(9):1545-1558.
[19]Puente-Maestu L,Calle M,Rodriguez-Hermosa JL,et al.Health literacy and health outcomes in chronic obstructive pulmonary disease[J].Respiratory Medicine,2016,115:78-82.
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[23]Moser DK,Robinson S,Biddle MJ,et al.Health literacy predicts morbidity and mortality in rural patients with heart failure[J].Journal of Cardiac Failure,2015,21(8):612-618.
[24]Schumacher JR,Hall AG,Davis TC,et al.Potentially preventable use of emergency services the role of low health literacy[J].Medical Care,2013,51(8):654-658.
[25]Ladley A,Hieger AW,Arthur J,et al.Educational text messages decreased emergency department utilization among infant caregivers:a randomized trial[J].Academic Pediatrics,2018,18(6):636-641.
[26]Balakrishnan MP,Herndon JB,Zhang JN,et al.The association of health literacy with preventable emergency department visits:a cross-sectional study[J].Academic Emergency Medicine,2017,24(9):1042-1050.
[27]May M,Brousseau DC,Nelson DA,et al.Why parents Seek care for acute illness in the clinic or the ED:the role of health literacy[J].Academic Pediatrics,2018,18(3):289-296.
[28]Mcnaughton CD,Collins SP,Kripalani SA,et al.Low numeracy is associated with increased odds of 30-Day emergency department or hospital recidivism for patients with acute heart failure[J].Circulation-Heart Failure,2013,6(1):40-46.
[29]Griffey RT,Kennedy SK,Mcgownan LA,et al.Is low health literacy associated with increased emergency department utilization and recidivism?[J].Academic Emergency Medicine,2014,21(10):1109-1115.
[30]Magnani JW,Mujahid MS,Aronow HD,et al.Health literacy and cardiovascular disease:fundamental relevance to primary and secondary prevention:a scientific statement from the American heart association[J].Circulation,2018,138(2):E48-E74.
[31]Ko Y,Balasubramanian TD,Wong L,et al.Health literacy and its association with disease knowledge and control in patients with hypertension in Singapore[J].International Journal of Cardiology,2013,168(4):E116-E117.
[32]Murray MD,Young J,Hoke S,et al.Pharmacist intervention to improve medication adherence in heart failure:a randomized trial[J].Annals of Internal Medicine,2007,146(10):714-725.
[33]Riegel B,Moser DK,Anker SD,et al.State of the science:promoting self-care in persons with heart failure:a scientific statement from the American Heart Association[J].Circulation,2009,120(12):1141-1163.
[34]De Walt DA,Malone RM,Bryant ME,et al.A heart failure selfmanagement program for patients of all literacy levels:a randomized,controlled trial[ISRCTN11535170][J].BMC Health Service Research,2006,6:30.
[35]Levy H,Janke A.Health literacy and access to care[J].Journal of Health Communication,2016,21(Suppl 1):43-50.
[2]Aday LA,Andersen R.A framework for the study of access to medical care[J].Health Services Research,1974,9(3):208-220.
[3]Berkman ND,Sheridan SL,Donahue KE,et al.Low health literacy and health outcomes:an updated systematic review[J].Annals of Internal Medicine,2011,155(2):97-107.
[4]Haun JN,Patel NR,French DD,et al.Association between health literacy and medical care costs in an integrated healthcare system:a regional population based study[J].BMC Health Services Research,2015,15:249.
[5]Macleod S,Musich S,Gulyas S,et al.The impact of inadequate health literacy on patient satisfaction,healthcare utilization,and expenditures among older adults[J].Geriatric Nursing,2017,38(4):334-341.
[6]Kobayashi LC,Wardle J,Von Wagner C.Limited health literacy is a barrier to colorectal cancer screening in England:evidence from the English Longitudinal Study of Ageing[J].Preventive medicine,2014,61:100-105.
[7]温秀芹,赵洁,曾庆奇,等.提高老年人群健康素养对其基本公共卫生服务利用的影响研究[J].中华疾病控制杂志,2016,20(2):204-206.
[8]Johri M,Subramanian SV,Sylvestre M,et al.Association between maternal health literacy and child vaccination in India:a crosssectional study[J].Journal of Epidemiology and Community Health,2015,69(9):849-857.
[9]Song IG,Lee H,Yi J,et al.Health literacy and use of preventive health services among North Korean defectors in the Republic of Korea[J].PLo S One,2018,13(6):e195964.
[10]Vandenbosch J,Van Den Broucke S,Vancorenland S,et al.Health literacy and the use of healthcare services in Belgium[J].Journal of Epidemiology and Community Health,2016,70(10):1032-1038.
[11]Rasu RS,Bawa WA,Suminski R,et al.Health literacy impact on National healthcare utilization and expenditure[J].International Journal of Health Policy and Management,2015,4(11):747-755.
[12]Ownby RL,Acevedo A,Jacobs RJ,et al.Quality of Life,health status,and health service utilization related to a new measure of health literacy:FLIGHT/VIDAS[J].Patient Education and Counseling,2014,96(3):404-410.
[13]Franzen J,Mantwill S,Rapold R,et al.The relationship between functional health literacy and the use of the health system by diabetics in Switzerland[J].European Journal of Public Health,2014,24(6):997-1003.
[14]杨文燕.山东省农村居民健康素养评价及其与卫生服务利用的关系研究[D].济南:山东大学,2014.
[15]Jaffee EG,Arora VM,Matthiesen MI,et al.Health literacy and hospital length of stay:an inpatient cohort study[J].Journal of Hospital Medicine,2017,12(12):969-973.
[16]Fabbri M,Yost K,Rutten LJ,et al.Health literacy and outcomes in patients with heart failure:a prospective community study[J].Mayo Clinic Proceedings,2018,93(1):9-15.
[17]Valerio MA,Peterson EL,Wittich AR.Examining health literacy among urban African-American adolescents with asthma[J].Journal of Asthma,2016,53(10):1041-1047.
[18]Taylor DM,Fraser S,Dudley C,et al.Health literacy and patient outcomes in chronic kidney disease:a systematic review[J].Nephrology Dialysis Transplantation,2018,33(9):1545-1558.
[19]Puente-Maestu L,Calle M,Rodriguez-Hermosa JL,et al.Health literacy and health outcomes in chronic obstructive pulmonary disease[J].Respiratory Medicine,2016,115:78-82.
[20]Shimizu E,Glaspy K,Witt MD,et al.Readmissions at a public safety net hospital[J].PLo S One,2014,9(3):e91244.
[21]Mc Naughton CD,Cawthon C,Kripalani S,et al.Health literacy and mortality:a cohort study of patients hospitalized for acute heart failure[J].Journal of the American Heart Association,2015,4(5):e001799.
[22]Ghisi GLM,Chaves GSDS,Britto RR,et al.Health literacy and coronary artery disease:a systematic review[J].Patient Education and Counseling,2018,101(2):177-184.
[23]Moser DK,Robinson S,Biddle MJ,et al.Health literacy predicts morbidity and mortality in rural patients with heart failure[J].Journal of Cardiac Failure,2015,21(8):612-618.
[24]Schumacher JR,Hall AG,Davis TC,et al.Potentially preventable use of emergency services the role of low health literacy[J].Medical Care,2013,51(8):654-658.
[25]Ladley A,Hieger AW,Arthur J,et al.Educational text messages decreased emergency department utilization among infant caregivers:a randomized trial[J].Academic Pediatrics,2018,18(6):636-641.
[26]Balakrishnan MP,Herndon JB,Zhang JN,et al.The association of health literacy with preventable emergency department visits:a cross-sectional study[J].Academic Emergency Medicine,2017,24(9):1042-1050.
[27]May M,Brousseau DC,Nelson DA,et al.Why parents Seek care for acute illness in the clinic or the ED:the role of health literacy[J].Academic Pediatrics,2018,18(3):289-296.
[28]Mcnaughton CD,Collins SP,Kripalani SA,et al.Low numeracy is associated with increased odds of 30-Day emergency department or hospital recidivism for patients with acute heart failure[J].Circulation-Heart Failure,2013,6(1):40-46.
[29]Griffey RT,Kennedy SK,Mcgownan LA,et al.Is low health literacy associated with increased emergency department utilization and recidivism?[J].Academic Emergency Medicine,2014,21(10):1109-1115.
[30]Magnani JW,Mujahid MS,Aronow HD,et al.Health literacy and cardiovascular disease:fundamental relevance to primary and secondary prevention:a scientific statement from the American heart association[J].Circulation,2018,138(2):E48-E74.
[31]Ko Y,Balasubramanian TD,Wong L,et al.Health literacy and its association with disease knowledge and control in patients with hypertension in Singapore[J].International Journal of Cardiology,2013,168(4):E116-E117.
[32]Murray MD,Young J,Hoke S,et al.Pharmacist intervention to improve medication adherence in heart failure:a randomized trial[J].Annals of Internal Medicine,2007,146(10):714-725.
[33]Riegel B,Moser DK,Anker SD,et al.State of the science:promoting self-care in persons with heart failure:a scientific statement from the American Heart Association[J].Circulation,2009,120(12):1141-1163.
[34]De Walt DA,Malone RM,Bryant ME,et al.A heart failure selfmanagement program for patients of all literacy levels:a randomized,controlled trial[ISRCTN11535170][J].BMC Health Service Research,2006,6:30.
[35]Levy H,Janke A.Health literacy and access to care[J].Journal of Health Communication,2016,21(Suppl 1):43-50.