Har du förstått? En systematisk litteraturöversikt om hälsolitteracitet i primärvården

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Sammanfattning: Introduction: Health Literacy (HL) means the ability to understand, apply and actively seek information related to the individuals’ health/illness. Previous research has shown that there are major differences in health that can be linked to different levels of HL, and that the knowledge situation around HL is low in Europe compared with USA/Canada/Asia. Communication between healthcare professionals and patients is not always optimal because the patient does not understand everything conveyed by healthcare professionals. It is therefore important to find out how staff works with HL in primary care. Aim: To compile research on methods aimed at assessing and strengthening patients' health capacity in primary careMethod: A systematic literature review was chosen to investigate HL. A large number of searches were conducted in scientific databases, resulting in eleven articles being included in the result. Results: Five methods used by health professionals were identified; “Teach Back”, “Bring a Friend”, “Layman Terms”, “Ask”, and “Gut Feeling”. Conclusion: The methods described cannot be used for all patients. Which method used needs to be assessed to fit each individual patient. The methods sometimes need to be combined or exchanged for another method. To better understand which method fits best, a measuring instrument for assessing patients' HL levels could be used. Further research from Europe and the Nordic Region about measuring instruments and methods for practical work with HL are needed in order to increase patient centering and reduce community costs.

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