Health literacy education for rural health professionals: shifting perspectives
Sarah Finlay A , Elizabeth Meggetto B C , Anske Robinson A and Claire Davis BA Monash University, School of Rural Health, Department of Rural and Indigenous Health, 3 Ollerton Ave, Newborough Vic. 3825, Australia. Email: sarah_finlay24@hotmail.com; anske.robinson@monash.edu
B Central West Gippsland Primary Care Partnership, PO Box 62, Moe, Vic. 3825, Australia. Email: claire.davis@llg.org.au
C Corresponding author. Email: elizabeth.meggetto@lchs.com.au
Australian Health Review 43(4) 404-407 https://doi.org/10.1071/AH18019
Submitted: 23 February 2017 Accepted: 15 May 2018 Published: 23 July 2018
Abstract
Health literacy is a major issue for improving health outcomes of clients. In rural Victoria, Australia, the Gippsland Health Literacy Project (GHLP) educated local health services staff about health literacy and provided tools and techniques for health literacy implementation in services. This paper reports the outcomes of this project. Participants’ change in knowledge was measured through pre- and post-project surveys and interviews. Descriptive analysis of survey data and analysis of interviews using qualitative description enabled exploration of individual and organisational shifts in health literacy perspectives. Healthcare professionals’ knowledge of health literacy has improved as a result of the health literacy education. Health service organisations are also taking greater responsibility for health literacy responsiveness in their services. Systematic changes to policy and procedures that support health literacy are required. Although health literacy education provides more accessible health care for consumers, where projects had executive-level support the changes implemented were more likely to be successful and sustainable.
What is known about this topic? Low health literacy is a strong predictor of health status and it is important for health organisations to ensure they provide health care and information in a way that can be understood, interpreted and acted on by all clients, regardless of their health literacy levels.
What does this paper add? This paper presents findings on staff training and resources that can effectively support staff to improve health literacy practices.
What are the implications for practitioners? Addressing health literacy issues appears to result in more accessible health care for consumers. Executive support and health literacy champions are key requirements to successfully address health literacy issues.
Additional keyword: organisational health literacy.
References
[1] Australian Commission on Safety and Quality in Health Care (ACSQHC). Consumers, the health system and health literacy: taking action to improve safety and quality. Consultation Paper. Sydney: ACSQHC; 2013.[2] Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K, Holland A, Brasure M, Lohr KN, Harden E, Tant E, Wallace I, Viswanathan M. Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep) 2011; Mar 1–941.
[3] Brach C, Keller D, Hernandez LM, Baur C, Parker R, Dreyer B, Schyve P, Lemerise AJ, Schillinger D. Ten attributes of health literate health care organizations. Discussion paper. Washington, DC: National Academy of Medicine; 2012. Available at: http://nam.edu/wp-content/uploads/2015/06/BPH_Ten_HLit_Attributes.pdf [accessed 3 July 2018]
[4] ISIS Primary Care. Policy & procedure manual: health literacy. Melbourne: ISIS Primary Care; 2012.
[5] Victorian Department of Health. The Plan Do Study Act (PDSA) model for improvement project: workbook. Melbourne: Integrated Care Branch, Victorian Government, Department of Health; 2010.
[6] Stableford S, Mettger W. Plain language: a strategic response to the health literacy challenge. J Public Health Policy 2007; 28 71–93.
| Plain language: a strategic response to the health literacy challenge.Crossref | GoogleScholarGoogle Scholar |
[7] Koh HK, Brach C, Harris LM, Parchman ML. A proposed ‘health literate care model’ would constitute a systems approach to improving patients’ engagement in care. Health Aff 2013; 32 357–67.
| A proposed ‘health literate care model’ would constitute a systems approach to improving patients’ engagement in care.Crossref | GoogleScholarGoogle Scholar |
[8] Gippsland Primary Care Partnerships. The Gippsland guide to becoming a health literate organisation. Gippsland: Gippsland Primary Care Partnerships; 2015.
[9] Keleher H, Hagger V. Health literacy in primary health care. Aust J Prim Health 2007; 13 24–30.
| Health literacy in primary health care.Crossref | GoogleScholarGoogle Scholar |
[10] Wynia MK, Osborn CY. Health literacy and communication quality in health care organizations. J Health Commun 2010; 15 102–15.
| Health literacy and communication quality in health care organizations.Crossref | GoogleScholarGoogle Scholar |
