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Презентация на тему: Health literacy


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Презентация на тему: Health literacy


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№ слайда 1 HEALTH LITERACY What You Need To Know and What You Can Do About It
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HEALTH LITERACY What You Need To Know and What You Can Do About It

№ слайда 2 Objectives Demonstrate a basic understanding of key health literacy concepts. Co
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Objectives Demonstrate a basic understanding of key health literacy concepts. Communicate the importance of health literacy to colleagues, grantees, and contractors. Identify specific ways to integrate health literacy into your work.

№ слайда 3 Overview What is health literacy and why is it important? Health literacy at HHS
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Overview What is health literacy and why is it important? Health literacy at HHS Strategies for improving health literacy Integrating health literacy into your work Resources

№ слайда 4 What Is Health Literacy and Why Is It Important?
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What Is Health Literacy and Why Is It Important?

№ слайда 5 What Is Health Literacy?
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What Is Health Literacy?

№ слайда 6 What Is Health Literacy? Health literacy is the degree to which individuals have
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What Is Health Literacy? Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Health literacy is dependent on both individual and systemic factors: Communication skills of lay people and professionals Knowledge of lay people and professionals of health topics Culture Demands of the healthcare and public health systems Demands of the situation/context

№ слайда 7 What Factors Affect Health Literacy? Health literacy is dependent on the communi
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What Factors Affect Health Literacy? Health literacy is dependent on the communication skills of lay people and health professionals. Communication skills include literacy skills (e.g., reading, writing, numeracy), oral communication skills, and comprehension. Communication skills are context specific.

№ слайда 8 What Factors Affect Health Literacy? 2. Health literacy is dependent on lay pers
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What Factors Affect Health Literacy? 2. Health literacy is dependent on lay person and professional knowledge of various health topics. People with limited or inaccurate knowledge about the body and the causes of disease may not: Understand the relationship between lifestyle factors (such as diet and exercise) and health outcomes Recognize when they need to seek care Health information can overwhelm people with advanced literacy skills.

№ слайда 9 What Factors Affect Health Literacy? 3. Health literacy is dependent on culture.
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What Factors Affect Health Literacy? 3. Health literacy is dependent on culture.

№ слайда 10 What Factors Affect Health Literacy? 4. Health literacy is dependent on the dema
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What Factors Affect Health Literacy? 4. Health literacy is dependent on the demands of the healthcare and public health systems. Individuals need to read, understand, and complete many kinds of forms in order to receive treatment and payment reimbursement. Individuals need to know about the various types of health professionals and services as well as how to access care.

№ слайда 11 What Factors Affect Health Literacy? 5. Health literacy is dependent on the dema
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What Factors Affect Health Literacy? 5. Health literacy is dependent on the demands of the situation/context. Health contexts are unusual compared to other contexts because of an underlying stress or fear factor. Healthcare contexts may involve unique conditions such as physical or mental impairment due to illness. Health situations are often new, unfamiliar, and intimidating.

№ слайда 12 What health literacy is NOT… Health literacy is NOT… Plain Language. Plain langu
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What health literacy is NOT… Health literacy is NOT… Plain Language. Plain language is a technique for communicating clearly. It is one tool for improving health literacy. Cultural Competency. Cultural competency is the ability of professionals to work cross-culturally. It can contribute to health literacy by improving communication and building trust.

№ слайда 13 Why Is Health Literacy Important? Health literacy is important because it affect
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Why Is Health Literacy Important? Health literacy is important because it affects people’s ability to: Navigate the healthcare system, including locating providers and services and filling out forms Share personal and health information with providers Engage in self-care and chronic disease management Adopt health-promoting behaviors, such as exercising and eating a healthy diet Act on health-related news and announcements These intermediate outcomes impact: Health outcomes Healthcare costs Quality of care

№ слайда 14 Health Literacy and Health Outcomes Persons with limited health literacy skills
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Health Literacy and Health Outcomes Persons with limited health literacy skills have: Higher utilization of treatment services Hospitalization Emergency services Lower utilization of preventive services Higher utilization of treatment services results in higher healthcare costs.

№ слайда 15 Health Literacy and Quality of Care Health literacy affects the quality of healt
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Health Literacy and Quality of Care Health literacy affects the quality of health care. “Good quality means providing patients with appropriate services, in a technically competent manner, with good communication, shared decisionmaking, and cultural sensitivity.”* * From IOM. Crossing the Quality Chasm: A New Health System for the 21st Century. 2001.

№ слайда 16 Health Literacy and Shame People with limited health literacy often report feeli
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Health Literacy and Shame People with limited health literacy often report feeling a sense of shame about their skill level. Individuals with poor literacy skills are often uncomfortable about being unable to read well, and they develop strategies to compensate.

№ слайда 17 Measuring Health Literacy Health literacy is a new component of the 2003 Nationa
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Measuring Health Literacy Health literacy is a new component of the 2003 National Assessment of Adult Literacy (NAAL). Nationally representative sample of more than 19,000 adults aged 16 and older in the United States Assessment of English literacy using prose, document, and quantitative scales

№ слайда 18 Measuring Health Literacy Tasks used to measure health literacy were organized a
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Measuring Health Literacy Tasks used to measure health literacy were organized around three domains: Clinical: Filling out a patient form Prevention: Following guidelines for age-appropriate preventive health services Navigation of the healthcare system: Understanding what a health insurance plan will pay for

№ слайда 19 Measuring Health Literacy Proficient: Can perform complex and challenging litera
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Measuring Health Literacy Proficient: Can perform complex and challenging literacy activities. Intermediate: Can perform moderately challenging literacy activities. Basic: Can perform simple everyday literacy activities. Below Basic: Can perform no more than the most simple and concrete literacy activities. Nonliterate in English: Unable to complete a minimum number of screening tasks or could not be tested because did not speak English or Spanish.

№ слайда 20 Percentage of Adults in Each Literacy Level: 2003
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Percentage of Adults in Each Literacy Level: 2003

№ слайда 21 Nonliterate in English
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Nonliterate in English

№ слайда 22 Difficulty of Selected Health Literacy Tasks
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Difficulty of Selected Health Literacy Tasks

№ слайда 23 Percentage of Adults in the Below Basic Health Literacy NAAL Population: 2003
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Percentage of Adults in the Below Basic Health Literacy NAAL Population: 2003

№ слайда 24 Percentage of Adults in Each Health Literacy Level, by Self-Assessment of Overal
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Percentage of Adults in Each Health Literacy Level, by Self-Assessment of Overall Health: 2003

№ слайда 25 Sources of Health Information
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Sources of Health Information

№ слайда 26 The Bottom Line Only 12 percent of adults have Proficient health literacy. In ot
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The Bottom Line Only 12 percent of adults have Proficient health literacy. In other words, nearly 9 out of 10 adults may lack the skills needed to manage their health and prevent disease. Fourteen percent of adults (30 million people) have Below Basic health literacy. These adults are more likely to report their health as poor (42 percent) and are more likely to lack health insurance (28 percent) than adults with Proficient health literacy.

№ слайда 27 Measuring Health Literacy Measures of health literacy at the individual level we
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Measuring Health Literacy Measures of health literacy at the individual level were developed in the 1990s: Rapid Estimate of Adult Literacy in Medicine (REALM) Test of Functional Health Literacy in Adults (TOFHLA and S-TOFHLA)

№ слайда 28 Measuring Health Literacy Health literacy measures based on functional literacy
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Measuring Health Literacy Health literacy measures based on functional literacy do not capture the full range of skills needed for health literacy. Current assessment tools (for populations and individuals) cannot differentiate among: Reading ability Lack of health-related background knowledge Lack of familiarity with language and materials Cultural differences in approaches to health.

№ слайда 29 Who Is at Risk? The problem of limited health literacy is greater among: Older a
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Who Is at Risk? The problem of limited health literacy is greater among: Older adults Those who are poor People with limited education Minority populations Persons with limited English proficiency (LEP)

№ слайда 30 Who Is at Risk? Many of the same populations at risk for limited health literacy
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Who Is at Risk? Many of the same populations at risk for limited health literacy also suffer from disparities in health status, illness (including heart disease, diabetes, obesity, HIV/AIDS, oral disease, cancer deaths, and low birth weight), and death.

№ слайда 31 Health Literacy: Use of Preventive Services Persons with limited health literacy
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Health Literacy: Use of Preventive Services Persons with limited health literacy skills* are more likely to skip preventive measures such as: Mammograms Pap smears Flu shots

№ слайда 32 Health Literacy: Knowledge About Medical Conditions and Treatment Persons with l
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Health Literacy: Knowledge About Medical Conditions and Treatment Persons with limited health literacy skills: Are more likely to have chronic conditions and less likely to manage them effectively. Have less knowledge of their illness (e.g., diabetes, asthma, HIV/AIDS, high blood pressure) and its management.

№ слайда 33 Health Literacy: Hospitalization and Health Status Persons with limited health l
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Health Literacy: Hospitalization and Health Status Persons with limited health literacy skills: Experience more preventable hospital visits and admissions. Are significantly more likely to report their health as “poor.”

№ слайда 34 Health Literacy: Healthcare Costs Predicted inpatient spending for persons with
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Health Literacy: Healthcare Costs Predicted inpatient spending for persons with inadequate health literacy (measured by the S-TOFHLA) was $993 higher than that of persons with adequate health literacy. An earlier analysis found that the additional healthcare resources attributable to inadequate health literacy were $29 billion (assuming that inadequate literacy was equivalent to inadequate health literacy): This number would have grown to $69 billion if even one-half of marginally literate adults were also considered not health literate.

№ слайда 35 Health Literacy at HHS
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Health Literacy at HHS

№ слайда 36 Commitment to Health Literacy Secretary Leavitt: Prevention and health informati
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Commitment to Health Literacy Secretary Leavitt: Prevention and health information technology (IT) are two big priorities for the healthcare system. Secretary Thompson’s Workgroup on Health Literacy Prevention: A Blueprint for Action “It is critical that individuals have access to health information in a way they can understand and make appropriate health decisions.”

№ слайда 37 Office of the Surgeon General Health literacy improvement is one of the Surgeon
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Office of the Surgeon General Health literacy improvement is one of the Surgeon General’s seven public health priorities. “Health literacy is the currency of success for everything I am doing as the Surgeon General.” —Dr. Richard Carmona in his speech to the AMA House of Delegates, June 2003.

№ слайда 38 Healthy People 2010 Health Communication Objectives 11-1. Internet access in the
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Healthy People 2010 Health Communication Objectives 11-1. Internet access in the home 11-2. Health literacy 11-3. Research and evaluation of health communication programs 11-4. Quality of Internet health Web sites 11-5. Centers of Excellence in health communication 11-6. Provider-patient communication

№ слайда 39 Healthy People 2010 Health Literacy Objectives 11-2. Improve the health literacy
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Healthy People 2010 Health Literacy Objectives 11-2. Improve the health literacy of persons with inadequate or marginal literacy skills. 11-6. Increase the proportion of persons who report that their healthcare providers have satisfactory communication skills.

№ слайда 40 Funding NIH program announcement: Understanding and Promoting Health Literacy Th
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Funding NIH program announcement: Understanding and Promoting Health Literacy Three annual submission dates 2004–2006 Thirteen sponsoring institutes and offices with AHRQ NIH spending in FY05 for these grants is close to $3 million, and it will total more than $8 million during the life of the awarded grants. HRSA provides funding to community-based organizations for health literacy activities and research.

№ слайда 41 Health Literacy Coordination Department health literacy workgroup Agency health
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Health Literacy Coordination Department health literacy workgroup Agency health literacy workgroups HHS health literacy intranet site Quick Guide to Health Literacy for HHS employees Health literacy action plan

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№ слайда 43 Four Strategies for Improving Health Literacy Improve the usability of health in
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Four Strategies for Improving Health Literacy Improve the usability of health information. Improve the usability of health services. Build knowledge to improve decisionmaking. Advocate for health literacy improvement.

№ слайда 44 1. Improve the Usability of Health Information Is the information appropriate fo
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1. Improve the Usability of Health Information Is the information appropriate for the users? Is the information easy to use? Are you speaking clearly and listening carefully?

№ слайда 45 Identify the Intended Users of the Health Information and Services Know the inte
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Identify the Intended Users of the Health Information and Services Know the intended users of the health information and services: Demographics Behavior Culture Attitude Literacy skills Language Socioeconomic status Access to services Decide which channel(s) and format are most appropriate.

№ слайда 46 Evaluation Evaluate users’ understanding before (formative), during (process), a
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Evaluation Evaluate users’ understanding before (formative), during (process), and after (outcome) the introduction of materials. Test! Test! Test!

№ слайда 47 Acknowledge Cultural Differences and Practice Respect Accepted roles of men and
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Acknowledge Cultural Differences and Practice Respect Accepted roles of men and women Value of traditional vs. Western medicine Favorite or forbidden foods Manner of dress Body language, especially touching or proximity

№ слайда 48 What Is Cultural Competency? Cultural competency is the ability of health organi
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What Is Cultural Competency? Cultural competency is the ability of health organizations and practitioners to recognize the following in diverse populations to produce a positive health outcome: Cultural beliefs Values Attitudes Traditions Language preferences Health practices

№ слайда 49 Use Plain Language Plain language is a strategy for making written and oral info
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Use Plain Language Plain language is a strategy for making written and oral information easier to understand. Key elements of plain language include: Using simple language and defining technical terms Using the active voice Breaking down complex information into understandable pieces Organizing information so the most important points come first

№ слайда 50 Speak Clearly and Listen Carefully Use a medically trained interpreter if necess
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Speak Clearly and Listen Carefully Use a medically trained interpreter if necessary: For those who do not speak English well, plain English will not help. Ensure that all language access services, including translation, are in plain language. Refer to CLAS standards. Ask open-ended questions: Elicit cultural beliefs and attitudes: “Tell me about the problem and what may have caused it.” Check for understanding: Use the “teach-back” method: Have the person restate the information in his or her own words.

№ слайда 51 Improve the Usability of Health Information on the Internet People cannot find t
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Improve the Usability of Health Information on the Internet People cannot find the information they seek on Web sites 60% of the time. Many elements that improve written and oral communication can be applied to information on the Web: — Plain language — Large font — White space — Simple graphics

№ слайда 52 Improve the Usability of Health Information on the Internet Health literacy has
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Improve the Usability of Health Information on the Internet Health literacy has implications for Web-based communication beyond written text. Consider the following strategies: Apply user-centered design principles and conduct usability tests. Include interactive features and personalized content. Organize information to minimize scrolling. Use uniform navigation.

№ слайда 53 2. Improve the Usability of Health Services Improve the usability of health form
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2. Improve the Usability of Health Services Improve the usability of health forms and instructions. Improve the accessibility of the physical environment. Establish a patient navigator program.

№ слайда 54 Health Forms and Instructions Healthcare and public health settings rely heavily
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Health Forms and Instructions Healthcare and public health settings rely heavily on forms and printed instructions: Medical history forms Insurance forms Informed consent forms Child immunization records for school Test results Directions to the lab or pharmacy Hospital discharge and home care instructions Clinical research protocols and announcements

№ слайда 55 Improve the Usability of Health Forms and Instructions Revise forms to ensure cl
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Improve the Usability of Health Forms and Instructions Revise forms to ensure clarity and simplicity. Test forms with intended users and revise as needed. Provide forms in multiple languages. Offer assistance with completing forms and scheduling followup care.

№ слайда 56 Improve the Physical Environment Settings with lots of signs and postings have a
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Improve the Physical Environment Settings with lots of signs and postings have a high literacy demand: Include universal symbols and clear signage in multiple languages. Promote easy flow through healthcare facilities. Create a respectful and shame-free environment.

№ слайда 57 Establish a Patient Navigator Program Patient navigators are health professional
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Establish a Patient Navigator Program Patient navigators are health professionals or community health workers who help patients: Evaluate their treatment options. Obtain referrals. Find clinical trials. Apply for financial assistance. Congress recently passed the Patient Navigator Outreach and Chronic Disease Prevention Act of 2005.

№ слайда 58 3. Build Knowledge to Improve Decisionmaking Improve access to accurate and appr
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3. Build Knowledge to Improve Decisionmaking Improve access to accurate and appropriate health information. Facilitate healthy decisionmaking. Partner with educators to improve health curricula.

№ слайда 59 Improve Access to Accurate and Appropriate Health Information Create new mechani
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Improve Access to Accurate and Appropriate Health Information Create new mechanisms for sharing and distributing understandable health education materials: Create audience or language-specific databases. Partner with adult educators. Identify new methods for information dissemination: Cell phones, palm pilots, personalized and interactive content, information kiosks, talking prescription bottles, etc.

№ слайда 60 Improve Access to Accurate and Appropriate Health Information Form partnerships
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Improve Access to Accurate and Appropriate Health Information Form partnerships with civic and faith-based organizations trusted in the community. Work with the media to increase awareness of health literacy issues. Work with providers to ensure that the health information they share is accurate, current, and reliable.

№ слайда 61 Facilitate Healthy Decisionmaking Use short documents that present “bottom-line”
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Facilitate Healthy Decisionmaking Use short documents that present “bottom-line” information, step-by-step instructions, and visual cues that highlight the most important information: People process and use a limited amount of information when making a decision. Align health information and recommendations with access to services, resources, and support!

№ слайда 62 Partner With Educators Co-develop adult basic education lessons on health topics
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Partner With Educators Co-develop adult basic education lessons on health topics: Adult learners want information that is relevant to their lives; health content is likely to engage them. Construct lessons in which students use health-related texts, forms, and content from the Internet.

№ слайда 63 Partner With Educators The K–12 education system is a critical point of interven
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Partner With Educators The K–12 education system is a critical point of intervention to improve health literacy. Incorporate health-related tasks, materials, and examples into lesson plans. Design and disseminate health information to support existing state standards. Speak to students or help organize health-related field trips for local schools.

№ слайда 64 4. Advocate for Health Literacy Improvement Make the case for improving health l
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4. Advocate for Health Literacy Improvement Make the case for improving health literacy. Incorporate health literacy in mission and planning. Establish accountability for health literacy activities.

№ слайда 65 Make the Case for Improving Health Literacy Identify specific programs and proje
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Make the Case for Improving Health Literacy Identify specific programs and projects affected by limited health literacy. Target key opinion leaders with health literacy information: Explain how health literacy improvement relates to your mission, goals, and strategic plan. Circulate relevant research and reports on health literacy to colleagues. Post and share health literacy resources.

№ слайда 66 Incorporate Health Literacy in Mission and Planning Include goals and objectives
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Incorporate Health Literacy in Mission and Planning Include goals and objectives specifically related to health literacy improvement in: Strategic plans Program plans Educational initiatives Goals can be broad (e.g., Achieving Healthy People 2010 Objective 11-2) or specific to the mission of the office/program.

№ слайда 67 Include Health Literacy in Grants, Contracts, and MOUs Recommend that all produc
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Include Health Literacy in Grants, Contracts, and MOUs Recommend that all products, materials, and forms be written in plain language and tested with the intended audiences.

№ слайда 68 Establish Accountability Include health literacy improvement criteria in program
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Establish Accountability Include health literacy improvement criteria in program evaluation. Implement health literacy metrics.

№ слайда 69 Establish Accountability Sample metrics Our office will: Apply user-centered des
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Establish Accountability Sample metrics Our office will: Apply user-centered design principles to 75% of new Web pages created after January 2006. Ensure that all documents intended for the public are reviewed by a plain language expert. Provide all new employees with training in cultural competency and health literacy within 6 months of their date of hire.

№ слайда 70 Integrating Health Literacy Into Your Work at HHS
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Integrating Health Literacy Into Your Work at HHS

№ слайда 71 Integrating Health Literacy Into Your Work at HHS Communicate with the public. W
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Integrating Health Literacy Into Your Work at HHS Communicate with the public. Work with grantees and contractors. Conduct and promote research. Manage staff and programs. Work with external stakeholders and partners.

№ слайда 72 Communicating With the Public HHS communication functions include: Responding to
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Communicating With the Public HHS communication functions include: Responding to public inquiries Developing public health messages/campaigns Developing materials, publications, Web sites Improving public access to evidence-based health information Promoting and disseminating messages, materials, recommendations, and guidelines Working with the media/press Acting as public liaisons Developing and implementing communication plans Providing health research results Speechwriting Contributing to professional and academic publications

№ слайда 73 Communicating With the Public Example: Working with the media Write press releas
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Communicating With the Public Example: Working with the media Write press releases aimed at the general public; use plain language. Provide journalists with access to health literacy resources: Create and post a health literacy “backgrounder” for journalists online (focus on data and news “hooks”). Highlight health literacy angle embedded in routine stories.

№ слайда 74 Working With Grantees and Contractors Require health literacy expertise as part
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Working With Grantees and Contractors Require health literacy expertise as part of the skill set for the teams awarded contracts. Encourage grantees to address health literacy issues in their work plans and deliverables. Include health literacy improvement as a topic in all technical assistance and materials development grants.

№ слайда 75 Working With Grantees and Contractors Example: Ask Funding Opportunity Announcem
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Working With Grantees and Contractors Example: Ask Funding Opportunity Announcement applicants to explain how their projects will contribute to meeting the health literacy objectives in Healthy People 2010.

№ слайда 76 Promoting Research Integrating health literacy into research agendas: Review res
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Promoting Research Integrating health literacy into research agendas: Review research portfolios. Convene research agenda-setting meetings for your topics: Include colleagues from across HHS who share responsibility for these topics. Identify health literacy research questions. Communicate research findings to health professionals and the public (shared function with Communication staff).

№ слайда 77 Promoting Research Example: Make presentations at scholarly meetings. Organize s
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Promoting Research Example: Make presentations at scholarly meetings. Organize symposia and sessions on health literacy at annual professional association meetings. Publish in professional journals.

№ слайда 78 Managing Staff and Programs Incorporate health literacy improvement into perform
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Managing Staff and Programs Incorporate health literacy improvement into performance plans, GPRA, and PART. Include health literacy activities in budget requests. Communicate the importance of health literacy improvement to staff.

№ слайда 79 Managing Staff and Programs Example: Conduct a senior-level briefing at your off
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Managing Staff and Programs Example: Conduct a senior-level briefing at your office or agency: Include formal presentation and handouts. Tie health literacy improvement to your specific mission, goals, and objectives. Make specific recommendations.

№ слайда 80 Working With External Stakeholders and Partners External stakeholders and partne
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Working With External Stakeholders and Partners External stakeholders and partners include: Healthcare professional organizations Patient advocacy and support organizations Consumer advocacy organizations State, local, and tribal governments Federal departments and agencies Academic institutions Industry trade organizations Media vendors and associations

№ слайда 81 Working With External Partners Arrangements may be: Formal (e.g., Collaborative
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Working With External Partners Arrangements may be: Formal (e.g., Collaborative Research and Development Agreements and signed letters of agreement) Informal collaboration In both cases, agencies can encourage partners to: Conduct user-centered research. Evaluate the impact of enhanced understandability.

№ слайда 82 Working With External Stakeholders Include representatives from your target popu
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Working With External Stakeholders Include representatives from your target population in planning, implementation, and evaluation. Be sure to include organizations that represent/serve populations with limited literacy skills.

№ слайда 83 Working With External Stakeholders and Partners Examples: When you are solicitin
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Working With External Stakeholders and Partners Examples: When you are soliciting proposals for presentations at HHS-sponsored events, state your interest in receiving presentations that address health literacy issues.

№ слайда 84 Who Is Responsible for Improving Health Literacy? A health literate America is a
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Who Is Responsible for Improving Health Literacy? A health literate America is a society in which health systems and institutions take responsibility for providing clear communication and adequate support to facilitate health-promoting actions based on understanding. —Institute of Medicine, 2004

№ слайда 85 Who Is Responsible for Improving Health Literacy? Our job as HHS employees is to
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Who Is Responsible for Improving Health Literacy? Our job as HHS employees is to protect the health of all Americans. Healthcare providers, public health professionals, health policy makers, and health administrators are all responsible for improving health literacy.

№ слайда 86 Who Is Responsible for Improving Health Literacy? We are!
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Who Is Responsible for Improving Health Literacy? We are!

№ слайда 87 Resources
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Resources

№ слайда 88 Resources AHRQ Report—Literacy and Health Outcomes (2004): www.ahrq.gov/clinic/e
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Resources AHRQ Report—Literacy and Health Outcomes (2004): www.ahrq.gov/clinic/epcsums/litsum.htm Healthy People 2010 (2000): www.healthypeople.gov Healthy People 2010 Health Literacy Action Plan—Communicating Health: Priorities and Strategies for Progress (2003): http://odphp.osophs.dhhs.gov/projects/healthcomm/objective2.htm IOM Report—Health Literacy: A Prescription To End Confusion (2004): www.iom.edu/report.asp?id=19723

№ слайда 89 Resources NIH Improving Health Literacy Web page: www.nih.gov/icd/od/ocpl/resour
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Resources NIH Improving Health Literacy Web page: www.nih.gov/icd/od/ocpl/resources/improvinghealthliteracy.htm NIH/AHRQ program announcements—Understanding and Promoting Health Literacy: http://grants.nih.gov/grants/guide/pa-files/PAR-04-116.html; http://grants.nih.gov/grants/guide/pa-files/PAR-04-117.html Prevention: A Blueprint for Action (2004): http://aspe.hhs.gov/health/blueprint/

№ слайда 90 Resources AHRQ Health Literacy and Cultural and Linguistic Competency Web page:
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Resources AHRQ Health Literacy and Cultural and Linguistic Competency Web page: www.ahrq.gov/browse/hlitix.htm NLM Bibliography—Understanding Health Literacy and Its Barriers (2004): www.nlm.nih.gov/pubs/cbm/healthliteracybarriers.html CDC—Scientific and Technical Information: Simply Put: www.cdc.gov/communication/resources/simpput.pdf CDCynergy (CD-ROM): www.cdc.gov/communication/cdcynergy.htm NCI—Making Health Communication Programs Work (the “Pink Book”): www.cancer.gov/pinkbook

№ слайда 91 Resources Dynamic search of health literacy articles in PubMed: http://phpartner
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Resources Dynamic search of health literacy articles in PubMed: http://phpartners.org/hp/health_comm.html HHS university plain language course: http://lms.learning.hhs.gov/CourseCatalog/index.cfm Plain language Web site: www.plainlanguage.gov A Family Physician’s Practical Guide to Culturally Competent Care: http://cccm.thinkculturalhealth.org/ National Standards for Culturally and Linguistically Appropriate Services in Health Care: www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15

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