Patient-centred care is about sharing the management of an illness/condition between patient (and significant other) and practitioner.
It is in contrast to the traditional, didactic “Medical model” approach to the practitioner-patient interaction which focuses on the disease rather than the person with the disease and the power and knowledge rests with the practitioner.
Degree Participants’ Action High Have control Have delegated Plan jointly Advise Low Are consulted Receive information None
Enabling an open exchange of information between health professionals and consumers is essential in the provision of appropriate and effective patient-centred care.
It is a right of consumers to have access to up-to-date, accurate, relevant and understandable information on which to base informed choice and informed consent. Written information is one approach to the provision of this information.
75% of oral communication is ignored, misunderstood or quickly forgotten (Bolton 1986) .
Quality written information as a communication tool greatly enhances learning and retention of information, increases confidence, decreases unnecessary contacts with health professionals and increases consumer satisfaction.
Health literacy has a direct influence on people’s access to crucial information about their rights and health care, whether it involves following instructions for care, taking medication, comprehending disease-related information, what services/programs are available for them to access, or learning about disease prevention and health promotion (Rudd et. al.1999).
Lower percentages of adults with Below Basic health literacy than adults with Basic, Intermediate, or Proficient health literacy reported that they got information about health issues from any written sources.
20% of adults with Below Basic health literacy got information about health issues from the Internet. This compared to 42% with Basic health literacy, 67% with Intermediate and 85% with Proficient .
Step 1: count 10 consecutive sentences near the beginning, middle and end of the material (total of 30 sentences). A sentence is any list of words ending in a full stop, question mark or exclamation mark.
Step 2: count every word of three or more syllables in the 30 sentences. Count repetitions of words.