Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions

被引：0
作者：
Iraj Poureslami
J. Mark FitzGerald
Noah Tregobov
Roger S. Goldstein
M. Diane Lougheed
Samir Gupta
机构：
[1] Vancouver Coastal Health Research Institute,Division of Respiratory Medicine, Centre for Lung Health
[2] University of British Columbia,Faculty of Medicine, Vancouver
[3] Canadian Multicultural Health Promotion Society (CMHPS),Fraser Medical Program
[4] University of British Columbia,Department of Physical Therapy, Temerty Faculty of Medicine
[5] University of Toronto,Respiratory Medicine
[6] Westpark Healthcare Centre,Department of Medicine, Temerty Faculty of Medicine
[7] University of Toronto,Asthma Research Unit, Department of Medicine, Kingston Health Sciences Centre
[8] Queen’s University,Unity Health
[9] Institute for Clinical Evaluative Sciences,Division of Respirology, Department of Medicine
[10] Li Ka Shing Knowledge Institute of St. Michael’s Hospital,undefined
[11] University of Toronto,undefined
来源：
Respiratory Research | / 23卷
关键词：
Chronic airway disease; Health literacy; Cultural competence; Patient-centered care; Narrative review;
D O I：
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中图分类号：
学科分类号：
摘要：
Respiratory self-care places considerable demands on patients with chronic airways disease (AD), as they must obtain, understand and apply information required to follow their complex treatment plans. If clinical and lifestyle information overwhelms patients’ HL capacities, it reduces their ability to self-manage. This review outlines important societal, individual, and healthcare system factors that influence disease management and outcomes among patients with asthma and chronic obstructive pulmonary disease (COPD)—the two most common ADs. For this review, we undertook a comprehensive literature search, conducted reference list searches from prior HL-related publications, and added insights from international researchers and scientists with an interest in HL. We identified methodological limitations in currently available HL measurement tools in respiratory care. We also summarized the issues contributing to low HL and system-level cultural incompetency that continue to be under-recognized in AD management and contribute to suboptimal patient outcomes. Given that impaired HL is not commonly recognized as an important factor in AD care, we propose a three-level patient-centered model (strategies) designed to integrate HL considerations, with the goal of enabling health systems to enhance service delivery to meet the needs of all AD patients.
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