Monday, October 29, 2012

Lessons in Health Literacy

Post written by CHC Member Melissa Rothman:
        Health literacy, or the capacity to understand health information and services, make informed decisions about your health, and follow instructions for treatment, is a serious issue contributing to health disparities today. Even if patients with low health literacy can pay for their doctors’ visits, they may struggle with taking the correct pill at the correct time of day because they cannot read the directions on the prescription bottle.  They may consent to surgeries or procedures that they do not understand. This can be as traumatic as learning post-surgery you unknowingly consented to a procedure.

While not all health literacy complications are as serious as having an organ removed without a patient’s knowledge, misunderstanding health information is still a fundamental issue in our healthcare system.  The US Department of Health identifies “[using] health communication strategies and health information technology (IT) to improve population health outcomes and health care quality, and to achieve health equity[1]” as one of its main goals for 2020.  As a health educator, health literacy is an important theme in my service. The majority of patients I serve are Hispanic, so creating bilingual promotional flyers and class materials is a crucial step towards health literacy.  However, creating materials at the appropriate reading level for patients is also important.  Often, health information pamphlets are written at a college level. As a result, to increase health literacy, creating visual, clear and simple materials is necessary.  For example, to explain to diabetic patients how to balance blood sugar, we use a worksheet with a scale and sugar cube graphic. Many of the diabetic patients that come to our education classes may have been diagnosed with the disease for years, but still do not understand how it works and how to properly control it.  Especially with chronic diseases like diabetes, overcoming health literacy barriers so patients can learn to manage their diagnoses correctly is crucial to patients’ health, wellbeing and happiness.

So far, focusing on health literacy issues at my host site seems to be an area where I can really have an influence. We are encouraged in Chicago Health Corps to take pride in the small changes.  Along with that idea, my latest project is to design nutrition and medication sheets for women coming to the center for prenatal care.  While I may not be making a groundbreaking discovery, if even one patient’s birth outcome is improved because of more accessible nutrition and medication information, I will consider my service a success.

For more information on health literacy, check out these great resources:






[1] http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=18

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