Health literacy
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

Health literacy

on

  • 1,094 views

 

Statistics

Views

Total Views
1,094
Views on SlideShare
1,093
Embed Views
1

Actions

Likes
0
Downloads
57
Comments
0

1 Embed 1

http://www.slideshare.net 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Health literacy Presentation Transcript

  • 1. Health Literacy views: The clinician viewpoint Barcelona. January 14 th , 2008 Joan Escarrabill MD Hospital Universitari de Bellvitge L’Hospitalet (Barcelona) [email_address]
  • 2. Agenda
    • Doctors and health education
    • SEPAR and health literacy
    • Health literacy anf Web 2.0
  • 3. Patient education 1980 2 vols 1853 pages
  • 4. Patient Education Improves compliance Better Outcomes = = Compliance
  • 5. Compliance
    • The perception of patients and doctors of the risks and benefits differs.
    • High quality information is essential
    50% of medicines prescribed for people with chronic conditions are not taken Jones G. BMJ 2003;327:819-20
  • 6. Adherence & frequency of doses Osterberg L & Blaschke T. N Engl J Med. 2005;353:487-97.
  • 7. Smoking habit in COPD patients Med Clin (Barc) 1989;93:772-4 of patients on LTOT were current smokers 27% Current smokers 23% Hernández. Eur Resp J 2003;21:58-6 . Hospital at home 26% Eur Respir J 2000;16:1037-42 EFRAM Study
  • 8. Smoking & LTOT in Denmark 25.1% Ringbaek TJ, Lange P. Respir Med 2006; 100:218-25 Danish register Current smokers 21.1% NS 1994 2000
  • 9. At home... I was working at home reading my old Chest diseases textbook and my daughter (16 yrs old) asked me...
    • What are you doing?
    • I’m working in a presentation
    • What’s the topic
    • Patient education
    • Uff, always the same... Doctors are prepotent and arrogant
  • 10. Coulter A. BMJ 1999;319:719-20 Paternalism is endemic in the NHS
  • 11. LTOT prescriptions without ABG criteria 1984 1995 56% 40% Escarrabill. Lancet 1985:ii:779. Farrero. Arch Bronconeumol 1998;34:374-8 LTOT: compliance with guidelines LTOT Danish register 1994 65% Incorrect prescription 2005 LTOT < 15 h/day 65% Follow-up withdraw 33% Current smokers on LTOT 21% Ringbaek TJ & Lange P. Respir Med. 2006;100:218-25.
  • 12. LTOT: Improvement of the survival through the time
  • 13. JAMA 1998;279:1309 Provision of adequate context for new research results is one of the main problems in presenting medical and health news for the public. a tool for more effective communication between patients and physicians.
  • 14.
    • Only one Patient page per issue
    • Difficult access for the patient
    • Not necessarily related to specific patient needs
  • 15. Health literacy vs poor communication
  • 16. A powerful tool.... The pediatrician of my daughter typed systematically all the recommendations in an old typewriter
  • 17. Health literacy Health Literacy Health Education The degree to which people have de capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
  • 18. Impact of limited health literacy
    • Fill out complex forms
    • Locate providers and services
    • Share personal information such as health history
    • Take care of yourself
    • Manage a chronic disease
    • Understand how to take medicines
  • 19. Agenda
    • Doctors and health education
    • SEPAR and health literacy
    • Health literacy anf Web 2.0
  • 20. www.separ.es/ Public information about respiratory diseases
  • 21. www.separ.es/ COPD
  • 22. www.separ.es/ COPD
  • 23. SEPAR pacientes
    • Doctors and nurses promoting activities especifically related to care.
    • Participation of the patients in the activities of the society
    Partients in the scientific meetings
  • 24. www.separ.es/ Sleep apnea
  • 25. Sleep disorders
    • High prevalence (>5% adults)
    • Therapy for life in most cases
    • Changes in life style
    • Intrusive
    Sleep Apnea Syndrome
  • 26.
    • Guarantee the education through the years.
    • Education to a greater number of patients.
    • Doing intelligible the education.
    • Sharing the point of view of the patient on the illness
    Tutor patient in sleep disorders Benefits
  • 27. Tutor patient: development of the project
    • Main characteristics of the disease
    • Health habits and therapy
    • The devices
    • Complications
    • Social impact
    • Teaching skills
    1 Experts identify the main topics www.universidadpacientes.org/ www.separ.es
  • 28. Tutor patient: development of the project 2 Definition of competences What competences should have the tutor patient to be able to teach other patients? 3 Asking the patients Interviews Focus groups
  • 29. Tutor patient: development of the project Health professionals Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient
  • 30. Agenda
    • Doctors and health education
    • SEPAR and health literacy
    • Health literacy anf Web 2.0
  • 31. BMJ 2006;333:1143-5
  • 32. www.patientslikeme.com/