Health literacy in the urgent care setting: What factors impact consumer comprehension of health information?

作者：Alberti Traci L^*; Morris Nancy J

来源：Journal of the American Association of Nurse Practitioners, 2017, 29(5): 242-247.

DOI：10.1002/2327-6924.12452

• Urgent care
• patient education
• consumer health information
• nurse practitioners
• advanced practice nurse
• health literacy
• Newest Vital Sign

Background: An increasing number of Americans are using urgent care (UC) clinics due to: improved health insurance coverage, the need to decrease cost, primary care offices with limited appointment availability, and a desire for convenient care. Patients are treated by providers they may not know for episodic illness or injuries while in pain or not feeling well. Treatment instructions and follow-up directions are provided quickly.
Purpose: To examine health literacy in the adult UC population and identify patient characteristics associated with health literacy risk.
Methods: As part of a larger cross-sectional study, UC patients seen between October 2013 and January 2014 completed a demographic questionnaire and the Newest Vital Sign. Descriptive, nonparametric analyses, and a multinomial logistic regression were done to assess health literacy, associated and predictive factors.
Results: A total of 57.5% of 285 participants had adequate health literacy. The likelihood of limited health literacy was associated with increased age (p < .001), less education (p < .001),and lower income (p = .006).
Conclusions/implications: Limited health literacy is common in a suburban UC setting, increasing the risk that consumers may not understand vital health information. Clear provider communication and confirmation of comprehension of discharge instructions for self-management is essential to optimize outcomes for UC patients.

• 出版日期2017-5