Littératie en santé; Communication; Efficacité pratique des soins; Health Literacy; Effectiveness of care
Abstract :
[fr] La « littératie en santé » désigne la capacité à trouver, comprendre et utiliser les informations dans le domaine de la santé. C’est un concept relativement neuf, en pleine expansion, encore peu connu des cliniciens de terrain. Des niveaux de littératie en santé insuffisants chez les patients sont fréquents, sous-estimés et péjorativement associés à de nombreux indicateurs de santé. Cet article se propose d’adopter le point de vue du clinicien de terrain pour montrer en quoi la littératie en santé pourrait redynamiser la réflexion sur l’efficacité pratique des interventions médicales. Il fournit, ensuite, des outils pour transposer ce concept dans la pratique et conclut que les médecins ont certainement un rôle moteur à prendre pour inscrire la littératie en santé à l’agenda des processus d’amélioration de la qualité des soins. [en] ‘Health literacy’ refers to the ability to find, understand and use health information. It is a relatively new concept, which is becoming increasingly important but remains little known by clinicians. Still, insufficient levels of health literacy in our patients are common, underestimated and negatively associated with numerous health indicators. A set of practical tools are already available to the clinician. The aim of this article is to present the concept to clinicians and emphasize how it could revitalize reflection on the effectiveness of our interventions in the field. Physicians could take a leadership role in putting the concept of health literacy on the agenda for health care quality improvement.
Disciplines :
General & internal medicine
Author, co-author :
Henrard, Gilles ; Université de Liège - ULiège > Département des sciences cliniques > Médecine générale
Vanmeerbeek, Marc ; Université de Liège - ULiège > Département des sciences cliniques > Médecine générale
Belche, Jean Luc ; Université de Liège - ULiège > Département des sciences cliniques > Médecine générale
Buret, Laetitia ; Université de Liège - ULiège > Département des sciences cliniques > Médecine générale
Sørensen K, Van den Broucke S, Fullam J, et al.-Health literacy and public health : A systematic review and integration of definitions and models. BMC Public Health, 2012, 12, 80.
Health Literacy : A prescription to end confusion [Internet]. Institute of Medicine. [cité 3 mars 2016]. Disponible sur: https://iom.nationalacademies. org:443/Reports/2004/Health-Literacy-A-Prescription-to-End-Confusion.aspx
Kickbusch I, Pelikan JM, Apfel F, et al.-, World Health Organization, éditeurs. Health literacy: the solid facts. Copenhagen. World Health Organization Regional Office for Europe, 2013, 73.
Henrard Gilles.-La «littératie en santé», avatar creux ou concept dynamisant ? Santé Conjug. janv 2017.
Sorensen K, Pelikan JM, Rothlin F, et al.-Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health [Internet]. 5 avr 2015 [cité 11 août 2015]; Disponible sur: http://eurpub.oxfordjournals.org/ cgi/doi/10.1093/eurpub/ckv043
Berkman ND, Sheridan SL, Donahue KE, et al. Health literacy interventions and outcomes : An updated systematic review. Evid ReportTechnology Assess, 2011, 199, 1-941.
Easton P, Entwistle VA, Williams B.-Health in th «hidden population» of people with low literacy. A systematic review of the literature. BMC Public Health, 201, 10, 459.
Easton P, Entwistle VA, Williams B.-How the stigma of low literacy can impair patient-professional spoken interactions and affect health: insights from a qualitative investigation. BMC Health Serv Res, 2013, 13, 319.
IOM (Institute of Medicine).-Innovations in Health Literacy Research: Workshop Summary. Washington, DC: The National Academies Press; 2011.
Rademakers J, Hofstede J, Heide I, et al.-A snapshot across Europe: policies, interventions and actions on health literacy improvement in Europe uncovered in the HEALIT4EU study. [Internet]. 2015. Disponible sur: http://www.nivel.nl/node /2430?database=ChoicePublicatpriref=6007
Yakam JCT, Dujardin B.-Politiques de santÉ et attentes des patients. Vers un nouveau dialogue. Bull APAD [Internet]. 2 déc 2003 [cité 1 juin 2016, 26. Disponible sur: https://apad.revues.org/3653
Roland M, Torgerson DJ.-Understanding controlled trials: What are pragmatic trials? BMJ, 1998, 316, 285-285.
Smith R, Rennie D.-Evidence-based medicine -An oral history. JAMA. 22 janv 2014;311(4):365. Disponible sur : https://ebm.jamanetwork.com/ (consulté le 1er décembre 2017)
Waaler HT, Piot MA.-The use of an epidemiological model for estimating the effectiveness of tuberculosis control measures. Sensitivity of the effectiveness of tuberculosis control measures to the coverage of the population. Bull World Health Organ, 1969, 41, 75-93.
Hayes R, Wawer M, Gray R, et al.-Randomised trials of STD treatment for HIV prevention: report of an international workshop. HIV/STD Trials Workshop Group. Genitourin Med, 1997, 73, 432-443.
Marvel MK, Epstein RM, Flowers K, et al.-Soliciting the patient's agenda: have we improved? JAMA, 1999, 281, 283.
Smith JL, Haggerty J.-Literacy in primary care populations: is it a problem? Can J Public Health Rev Can Sante Publique, 2003, 94, 408-412.
Brach X, Keller D, Hernandez L, et al.-Ten Attributes of Health Literate Health Care Organizations -Institute of Medicine -June 2012 | KINSHIP -Knowledge INformed Support for Health Improved Practice [Internet]. 2012 [cité 22 oct 2016]. Disponible sur: https://kinwahlin.wordpress. com/2012/07/03/ten-attributes-of-health-literatehealth-care-organizations-institute-of-medicinejune-2012/
Agency for Healthcare Research and Quality, Rockville, MD.-AHRQ Health Literacy Universal Precautions Toolkit: 2nd edition. [Internet]. 2015. Disponible sur : http://www.ahrq.gov/professionals/ quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html
Kronzer VL.-Screening for health literacy is not the answer. BMJ, 2016, 354, i3699.
About CAHPS [Internet].-[cité 12 avr 2017]. Disponible sur: /cahps/about-cahps/index.html
Richard C, Lussier M-T.-La communication professionnelle en santé. Montréal (Québec); Pearson : éditions du Renouveau pédagogique Inc. (ERPI); 2016.
Teach-Back Toolkit | Home of Teach-back training [Internet]. [cité 12 avr 2017]. Disponible sur: http:// www.teachbacktraining.org/
Nutbeam D.-Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int, 2000, 15, 259-267.
Brach C, Dreyer BP, Schillinger D.-Physicians' roles in creating health literate organizations : A call to action. J Gen Intern Med, 2014, 29, 273-275.
Boelen C.-Consensus mondial sur la responsabilité sociale des facultés de Médecine, summary. Santé Publique, 2011, 23, 247-250.