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Health literacy


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Health literacy

  1. 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. 2. Agenda <ul><li>Doctors and health education </li></ul><ul><li>SEPAR and health literacy </li></ul><ul><li>Health literacy anf Web 2.0 </li></ul>
  3. 3. Patient education 1980 2 vols 1853 pages
  4. 4. Patient Education Improves compliance Better Outcomes = = Compliance
  5. 5. Compliance <ul><li>The perception of patients and doctors of the risks and benefits differs. </li></ul><ul><li>High quality information is essential </li></ul>50% of medicines prescribed for people with chronic conditions are not taken Jones G. BMJ 2003;327:819-20
  6. 6. Adherence & frequency of doses Osterberg L & Blaschke T. N Engl J Med. 2005;353:487-97.
  7. 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. 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. 9. At home... I was working at home reading my old Chest diseases textbook and my daughter (16 yrs old) asked me... <ul><li>What are you doing? </li></ul><ul><li>I’m working in a presentation </li></ul><ul><li>What’s the topic </li></ul><ul><li>Patient education </li></ul><ul><li>Uff, always the same... Doctors are prepotent and arrogant </li></ul>
  10. 10. Coulter A. BMJ 1999;319:719-20 Paternalism is endemic in the NHS
  11. 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. 12. LTOT: Improvement of the survival through the time
  13. 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. 14. <ul><li>Only one Patient page per issue </li></ul><ul><li>Difficult access for the patient </li></ul><ul><li>Not necessarily related to specific patient needs </li></ul>
  15. 15. Health literacy vs poor communication
  16. 16. A powerful tool.... The pediatrician of my daughter typed systematically all the recommendations in an old typewriter
  17. 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. 18. Impact of limited health literacy <ul><li>Fill out complex forms </li></ul><ul><li>Locate providers and services </li></ul><ul><li>Share personal information such as health history </li></ul><ul><li>Take care of yourself </li></ul><ul><li>Manage a chronic disease </li></ul><ul><li>Understand how to take medicines </li></ul>
  19. 19. Agenda <ul><li>Doctors and health education </li></ul><ul><li>SEPAR and health literacy </li></ul><ul><li>Health literacy anf Web 2.0 </li></ul>
  20. 20. Public information about respiratory diseases
  21. 21. COPD
  22. 22. COPD
  23. 23. SEPAR pacientes <ul><li>Doctors and nurses promoting activities especifically related to care. </li></ul><ul><li>Participation of the patients in the activities of the society </li></ul>Partients in the scientific meetings
  24. 24. Sleep apnea
  25. 25. Sleep disorders <ul><li>High prevalence (>5% adults) </li></ul><ul><li>Therapy for life in most cases </li></ul><ul><li>Changes in life style </li></ul><ul><li>Intrusive </li></ul>Sleep Apnea Syndrome
  26. 26. <ul><li>Guarantee the education through the years. </li></ul><ul><li>Education to a greater number of patients. </li></ul><ul><li>Doing intelligible the education. </li></ul><ul><li>Sharing the point of view of the patient on the illness </li></ul>Tutor patient in sleep disorders Benefits
  27. 27. Tutor patient: development of the project <ul><li>Main characteristics of the disease </li></ul><ul><li>Health habits and therapy </li></ul><ul><li>The devices </li></ul><ul><li>Complications </li></ul><ul><li>Social impact </li></ul><ul><li>Teaching skills </li></ul>1 Experts identify the main topics
  28. 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. 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. 30. Agenda <ul><li>Doctors and health education </li></ul><ul><li>SEPAR and health literacy </li></ul><ul><li>Health literacy anf Web 2.0 </li></ul>
  31. 31. BMJ 2006;333:1143-5
  32. 32.