CLAS Clearinghouse: Results for "Health Literacy"
American College of Physicians. (2010).Racial and ethnic disparities in health care, updated 2010. Retrieved from http://www.acponline.org/advocacy/where_we_stand/access/racial_disparities.pdf
The American College of Physicians released a 2010 update to its policy paper, "Racial and Ethnic Disparities in Health Care." It calls for the healthcare system to adapt to meet the needs of an increasingly multicultural patient base. Recommendations include that healthcare professionals need to acknowledge the cultural, informational, and linguistic needs of their patients as our society increasingly becomes more racially and ethnically diverse.Keywords: Research | Education & Training | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Health Literacy | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance |
Weinick, R. M., Flaherty, K., & Bristol, S. J. (2008). Creating Equity Reports: A Guide for Hospitals. Retrieved from The Disparities Solutions Center, Massachusetts General Hospital website: http://www2.massgeneral.org/disparitiessolutions/z_files/Disparities%20Hospital%20guide.qxp.pdf
The findings in this report indicate that although many hospitals collect information about their patients' demographics, race, and ethnicity, they often do not make use of the information. This resource is a guide designed to assist hospitals in using that information to develop an equity report.Keywords: Tools | Policy | Education & Training | Clinical & Mental Health | Patients & Consumers | Governance & Leadership | Profession-Based | Communication | Quality Improvement | Health Literacy | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |
A public site where people can access multilingual information on HIV and Hepatitis C.
*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.Keywords: Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Profession-Based | Public Health | Quality Improvement | Research | Tools |
The Holistic Honu Wellness Center is a very small health and wellness center in Berkeley, California where they address the issue of Native Hawaiian health disparities by acting as a conduit between traditional healing practices and the western medical communities everyday. Their current program has been the development and execution of a culturally competent education curriculum designed to address health disparity issues within Native Hawaiian communities that consists of four distinct levels.
*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.Keywords: Governance & Leadership | Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disparities | Education & Training | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Population-Based | Public Health | Quality Improvement | Research | Tools |
An information Guide for Health Care providers, hospital staff and administrators, chaplains, school administrators, funeral directors and others regarding ceremonies, rights and obligations.
*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.Keywords: Governance & Leadership | Governance, Leadership, and Workforce | Education & Training | Government | Health Literacy | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Quality Improvement |
CDC's Division of Diabetes Translation translates diabetes research into daily practice to understand the impact of the disease, influence health outcomes, and improve access to quality health care. Resources are available in Spanish as well.
Goldney, R. D., Fisher, L. I., & Wilson, D. H. (2001). Mental health literacy: An impediment to the optimum treatment of major depression in the community. Journal of Affective Disorders, 64(2-3), 277-84.
The authors find that the public's general lack of knowledge and erroneous beliefs about mental disorders impede the recognition and management of major depression. The authors conclude that a need exists for greater effort in community education.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Disease-Based | Research |
Herndon, J., Chaney, M., & Carden, D. (2011). Health literacy and emergency department outcomes: A systematic review. Annals of Emergency Medicine, 57(4), 334-345. doi:10.1016/j.annemergmed.2010.08.035
The authors assess, through a systematic review of the literature, the relationship among the health literacy levels of emergency department patients, the readability of patient materials, and emergency department outcomes.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Profession-Based | Research |
National Quality Forum. (2005). Improving patient safety through informed consent for patients with limited health literacy. Retrieved from http://www.qualityforum.org/Publications/2005/09/Improving_Patient_Safety_Through_Informed_Consent_for_Patients_with_Limited_Health_Literacy.aspx
The foreword to this report notes that informed consent is "an essential component" in addressing health care disparities. The report synthesizes lessons learned by providers who adopted the National Quality Forum's Safe Practice 10. Barriers to implementation are discussed and potential solutions offered, key findings noted, and recommendations made. Appendices contain a number of case studies.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Quality Improvement | Patients & Consumers | Research |
Pfizer. (2011). Prevalence calculator. Retrieved from http://www.pfizerhealthliteracy.com/physicians-providers/PrevalenceCalculator.aspx
The Prevalence Calculator is a tool that can provide a rough estimate of the percentage of patients in a practice who may have difficulty understanding medical information and instructions. It is not a tool for determining the health literacy of particular individuals. Calculations are based on data drawn from the health literacy component of the National Assessment of Adult Literacy and supplemented by reports from the medical literature.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Tools |
U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2010). Health literacy universal precautions toolkit (AHRQ Publication No. 10-0046-EF). Retrieved from http://www.ahrq.gov/qual/literacy/healthliteracytoolkit.pdf
This toolkit was designed to be used by staff at all levels of a primary care practice. It contains 20 tools, each two to five pages long, to improve spoken and written communication and improve patient self-management. A quick-start guide is provided. Background information on health literacy is included. Links to videos are available. An appendix offers forms, PowerPoint presentations, worksheets, and posters.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Communication and Language Assistance | Health Literacy | Government | Tools |
U.S. Department of Health and Human Services, Specialized Information Services. (2012). Outreach activities and resources: Multi-cultural resources for health information. Retrieved from http://sis.nlm.nih.gov/outreach/multicultural.html
This resource center gives access to approximately a hundred other sites in such areas as cultural competency; health literacy; limited English proficiency; interpreting; online translation tools; resources in languages other than English; law, policy, and standards; multicultural research; and refugee health.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Government |
Wynia, M., & Matiasek, J. (2006). Promising practices for patient-centered communication with vulnerable populations: Examples from eight hospitals (Commonwealth Fund Publication No. 947). Retrieved from http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2006/Aug/Promising%20Practices%20for%20Patient%20Centered%20Communication%20with%20Vulnerable%20Populations%20%20Examples%20from%20Ei/Wynia_promisingpracticespatientcentered_947%20pdf.pdf
The study identified eight hospitals that have demonstrated a commitment to patient-centered communication with vulnerable patient populations. The authors discuss several promising practices in use by these hospitals, including advocates for communication programs, data collection on patient needs, community and patient engagement, a diverse workforce, awareness of cultural diversity, effective language assistance services, addressing the problem of health literacy, and assessing performance.Keywords: Provide effective, equitable, understandable, and respectful quality care and services | Communication and Language Assistance | Health Literacy | Research |
Kripalani, S., & Jacobson, K. L. (2007). Strategies to improve communication between pharmacy staff and patients: Training program for pharmacy staff [Curriculum guide] (AHRQ Publication No. 07(08)-0051-1-EF). Retrieved from http://www.ahrq.gov/qual/pharmlit/pharmtrain.htm
This PowerPoint slide set with notes for the trainer is also available in PDF format from the same site. A reference list is included. Handouts are available. Estimated presentation time is two hours. Topics include health literacy in America, high-risk groups, possible indicators of low health literacy, universal precautions, and five strategies to improve communication.Keywords: Governance, Leadership, and Workforce | Health Literacy | Profession-Based |
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (n.d.). Training and continuing education online: Health literacy for public health professionals (web-based) [Online training course summary]. Retrieved from http://www2a.cdc.gov/tceonline/registration/detailpage.asp?res_id=2074
This online course is intended to educate public health professionals and students on the importance of health literacy and the role they play in providing health information and promoting health literacy in the community. Continuing education credit is available.Keywords: Governance, Leadership, and Workforce | Health Literacy | Government | Public Health |
U.S. Department of Health and Human Services, Health Resources and Services Administration. (n.d.). Unified health communication 101. Retrieved from http://www.hrsa.gov/publichealth/healthliteracy/index.html
This is a free five-module online course that allows viewers to proceed at their own pace. Participants will learn to "implement patient-centered communication practices that demonstrate cultural competency and appropriately address patients with limited health literacy" and limited English proficiency. Continuing education credits are available.Keywords: Governance, Leadership, and Workforce | Health Literacy | Government |
American Medical Association Foundation. (2007). Health literacy and patient safety: Help patients understand [Educational kit]. Chicago, IL: American Medical Association Foundation.
This self-study kit for health care professionals and patient advocates contains an instructional video on DVD and CD-ROM (VHS format available separately), a manual for clinicians, discussions of cases, evaluation materials, and a continuing medical education questionnaire. The estimated time to complete the activity is two and a half hours.Keywords: Communication and Language Assistance | Health Literacy | Patients & Consumers |
Andrulis, D. P., & Brach, C. (2007). Integrating literacy, culture, and language to improve health care quality for diverse populations. American Journal of Health Behavior, 31, S122-S133. Retrieved from http://www.cpehn.org/pdfs/Integrating%20Literace%20Paper%20-%20Andrulis.pdf
This article discusses the importance of an integrated approach by providers and organizations to address literacy, culture and language. The authors find that strategies aimed at improving health literacy are very often distinct from those addressing cultural and linguistic diversity. They assert that this lack of integration results in health care that is unresponsive to the needs of some vulnerable groups.Keywords: Communication and Language Assistance | Health Literacy | Quality Improvement | Public Health |
Andrus, M. R., & Roth, M. T. (2002). Health literacy: A review. Pharmacotherapy, 22(3), 282-302. Retrieved from www.cce.uri.edu/pharmacy/rotationdescriptions/Andrus_Wk2.pdf
The authors note that nearly half of English-speaking patients lack functional health literacy, defined as the ability to read, understand, and act on health information. The consequences of this state of affairs include poor health status, lack of understanding and use of preventive services, poor compliance, an increase in hospitalizations, and higher costs. Topics discussed include measuring literacy and health literacy, the prevalence of illiteracy and of inadequate functional health literacy, the readability of patient education materials and dosing instructions, cultural literacy, patient experiences, and proposed solutions.Keywords: Communication and Language Assistance | Health Literacy |
Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97-107.
In a review of the medical, allied health, and psychological literature, the authors found 96 studies of good-to-fair quality of health outcomes affected by low health literacy or numeracy. They found low health literacy to be consistently associated with increased hospitalizations, greater use of emergency services, fewer vaccinations or mammograms, and, among the elderly, poorer overall health and higher mortality. No conclusions were possible regarding numeracy because of the limited number of studies (22 articles since 1966).Keywords: Communication and Language Assistance | Health Literacy | Public Health |
Ferguson, L. A., & Pawlak, R. (2011). Health literacy: the road to improved health outcomes. Journal for Nurse Practitioners, 7(2), 123-129. doi:10.1016/j.nurpra.2010.11.020
The authors note that people's behavior and decisions are affected by their levels of health literacy, with low health literacy leading to poor health outcomes. They review research on health literacy and discuss ways in which it might be improved.Keywords: Communication and Language Assistance | Health Literacy | Quality Improvement |
Harvard School of Public Health. (2010). Health literacy studies: Assessing and developing health materials. Retrieved from http://www.hsph.harvard.edu/healthliteracy/practice/innovative-actions/index.html
This website offers access to readability tools and guidelines for creating, assessing, and rewriting print materials.Keywords: Communication and Language Assistance | Health Literacy | Tools |
Health Literacy Innovations. (2008). The health literacy & plain language resource guide. Retrieved from http://www.healthliteracyinnovations.com/information/RGdownload
Writing that is clear, to the point, and directed to the target audience is presented as a good strategy to improve health literacy. This guide offers links to Web pages, initiatives, action plans, reports, toolkits, and other resources appropriate for achieving that end.Keywords: Communication and Language Assistance | Health Literacy | Tools |
International Medical Interpreters Association. (2012). Retrieved from http://www.imiaweb.org/default.asp
This professional association's website offers links to a wide variety of information and services: training; an ethical code in many languages; standards of practice; advocacy activities; research; employment opportunities and opportunities for pro bono disaster relief; a Listserv; and information about legal matters, upcoming events, and health literacy, to name a few.Keywords: Communication and Language Assistance | Health Literacy | Tools |
Pierce, L. (2010). How to choose and develop written educational materials. Rehabilitation Nursing, 35(3), 99-105. Retrieved from http://www.rehabnurse.org/pdf/rnj320.pdf
The author offers guidelines to help nurses and other health care professionals select appropriately readable, authoritative, informative, and unbiased health education materials for patients and their families. When suitable materials are not already available, the author shows how they may be developed or adapted.Keywords: Communication and Language Assistance | Profession-Based | Health Literacy |
Plain Language Association International. (2011). Retrieved from http://www.plainlanguagenetwork.org/
This is a nonprofit organization promoting the use of plain language in business, science, journalism, law, technical writing, and public discourse generally. The site provides links to articles, writing tutorials, websites, conference information, news, and opportunities for networking. Before and after writing samples are given. A page of literacy resources is available, including resources on health literacy.Keywords: Communication and Language Assistance | Health Literacy |
U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2011). CAHPS item set for addressing health literacy. Retrieved from https://www.cahps.ahrq.gov/Surveys-Guidance/Item-Sets/Health-Literacy.aspx
The principal goal of this Consumer Assessment of Healthcare Providers and Systems item set "is to measure, from the patients' perspectives, how well health information is communicated to them by health professionals." This item set contains 29 supplemental items to be used with the CAHPS Clinician and Group Survey and covers the following topic areas: (1) communication with doctors, (2) communication about health problems and concerns, (3) communication about medicines, (4) communication about tests, (5) communication about forms, and (6) disease self-management.Keywords: Communication and Language Assistance | Health Literacy | Government | Patients & Consumers |
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Health literacy online: A guide to writing and designing easy-to-use health web sites. Retrieved from http://www.health.gov/healthliteracyonline
This guide, "written for Web designers, content specialists, and other public health communication professionals," offers guidance on creating websites that are easy to use for people with limited literacy skills and limited Internet experience, with content that is engaging and on which readers can act. The guide is structured according to six strategies: (1) learn about the users and their goals, (2) write actionable content, (3) display content clearly, (4) organize content to simplify navigation, (5) engage users with interactive content, and (6) evaluate and revise the site. Examples of writing and design are included.Keywords: Communication and Language Assistance | Health Literacy | Government | Public Health |
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). National action plan to improve health literacy. Retrieved from http://health.gov/communication/HLActionPlan/
The plan is based on the principles that everyone has the right to health information and that health services should be delivered in ways that are understandable. Seven goals and strategies to achieve them are outlined. These goals include promoting changes in the health care system that improve health information, communication, informed decision-making, and access to health services; supporting and expanding local efforts to provide adult education, English language instruction, and culturally and linguistically appropriate health information services in the community; increasing basic research and the development, implementation, and evaluation of practices and interventions to improve health literacy; and increasing the dissemination and use of evidence-based health literacy practices and interventions.Keywords: Communication and Language Assistance | Health Literacy | Government | Public Health |
The Joint Commission. (2007). "What did the doctor say?": Improving health literacy to protect patient safety. Retrieved from http://www.jointcommission.org/assets/1/18/improving_health_literacy.pdf
In an effort to narrow the "gap between the abilities of ordinary citizens, and especially those with low health literacy or low English proficiency, and the skills required to comprehend typical health care information," the Joint Commission convened a roundtable panel to address this issue. This document is structured around its three recommendations, with discussion and suggestions for implementation of each. The recommendations are to (1) make effective communications an organizational priority to protect the safety of patients, (2) incorporate strategies to address patients' communication needs across the continuum of care, and (3) pursue policy changes that promote improved practitioner-patient communications.Keywords: Engagement, Continuous Improvement, and Accountability | Health Literacy | Patients & Consumers |
U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2011). CAHPS: Surveys and tools to advance patient-centered care. Retrieved from http://www.cahps.ahrq.gov
This website for the Consumer Assessment of Healthcare Providers and Systems program offers standardized patient questionnaires on health plans, clinicians and groups, surgical care, dental plans, hospitals, nursing homes, home health care, and in-center hemodialysis. There is a survey that asks American Indians about their health care experiences. There are supplemental item sets for children with chronic conditions, people with mobility impairments, and providers of cultural competence, health literacy, and information technology.Keywords: Engagement, Continuous Improvement, and Accountability | Health Literacy | Government | Patients & Consumers |
A non-promotional guide that discusses the dangers that can happen if you drink and get behind the wheel of a vehicle.
This timely report offers an update on implementation progress, guidance, best practices, and tools for states, health plans, and organizations hastening to implement ACA’s cultural and linguistic requirements by October 1, 2013, when open enrollment begins. Also featured are seven in-depth case studies on State-Based Exchanges in California, Colorado, Connecticut, Maryland, New York, Oregon, and Washington, with information on best practices on integrating race, culture, and language in planning and operation.
The Texas Health Institute recently released its second report, “Supporting and Transitioning the Health Care Safety Net,” in its five-part series known as The ACA & Racial and Ethnic Health Equity Series. This new report provides a snapshot on status and progress of nine key provisions in the ACA critical for advancing racial and ethnic health equity within the health care safety net. Through a close review of latest data, research, and federal guidance on safety net provisions, this report describes how the safety net stands at a crossroads in an era of reform. Complemented by perspectives from the field—including hospitals and health centers—the report discusses important priorities, challenges, and next steps for addressing and advancing racial and ethnic health equity through the safety net.