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Health Literacy views:   The clinician viewpoint  Barcelona.  January 14 th , 2008 Joan Escarrabill   MD Hospital Universitari de Bellvitge L’Hospitalet (Barcelona) [email_address]
Agenda ,[object Object],[object Object],[object Object]
Patient education 1980  2 vols 1853 pages
Patient Education  Improves compliance  Better Outcomes  = = Compliance
Compliance ,[object Object],[object Object],50% of medicines prescribed for people with chronic conditions are  not taken Jones G. BMJ 2003;327:819-20
Adherence & frequency of doses Osterberg L &  Blaschke T. N Engl J Med. 2005;353:487-97.
Smoking habit in COPD patients Med Clin (Barc)  1989;93:772-4 of patients on LTOT were current smokers 27% Current smokers 23% Hernández.  Eur Resp J 2003;21:58-6 . Hospital at home 26% Eur Respir J 2000;16:1037-42 EFRAM Study
Smoking & LTOT in Denmark 25.1% Ringbaek TJ, Lange P.  Respir Med 2006; 100:218-25 Danish register Current smokers 21.1% NS 1994 2000
At home... I was working at home reading my old Chest diseases textbook and  my daughter (16 yrs old) asked me...  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Coulter A. BMJ 1999;319:719-20 Paternalism is endemic in the NHS
LTOT prescriptions without ABG criteria 1984 1995 56% 40% Escarrabill. Lancet 1985:ii:779.  Farrero. Arch Bronconeumol 1998;34:374-8 LTOT: compliance with guidelines LTOT Danish register 1994 65% Incorrect prescription 2005 LTOT < 15 h/day 65% Follow-up withdraw 33% Current smokers on LTOT 21% Ringbaek TJ & Lange P. Respir Med. 2006;100:218-25.
LTOT: Improvement of the survival through the time
JAMA 1998;279:1309 Provision of adequate context for new research results is one of the main problems in presenting medical and health news for the public. a tool for more effective communication between patients and physicians.
[object Object],[object Object],[object Object]
Health literacy vs  poor communication
A powerful tool.... The pediatrician of my daughter typed systematically all the recommendations in an old typewriter
Health literacy Health Literacy Health Education The degree to which people have de capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
Impact of limited health literacy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object]
www.separ.es/ Public information about respiratory diseases
www.separ.es/ COPD
www.separ.es/ COPD
SEPAR pacientes ,[object Object],[object Object],Partients in the scientific meetings
www.separ.es/ Sleep apnea
Sleep disorders ,[object Object],[object Object],[object Object],[object Object],Sleep Apnea Syndrome
[object Object],[object Object],[object Object],[object Object],Tutor patient in sleep disorders Benefits
Tutor patient:  development of the project ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Experts identify the main topics www.universidadpacientes.org/ www.separ.es
Tutor patient:  development of the project 2 Definition of competences What competences should have the tutor patient  to be able to teach other patients?  3 Asking the patients Interviews Focus groups
Tutor patient:  development of the project Health professionals Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient
Agenda ,[object Object],[object Object],[object Object]
BMJ 2006;333:1143-5
www.patientslikeme.com/

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Health literacy

  • 1. Health Literacy views: The clinician viewpoint Barcelona. January 14 th , 2008 Joan Escarrabill MD Hospital Universitari de Bellvitge L’Hospitalet (Barcelona) [email_address]
  • 2.
  • 3. Patient education 1980 2 vols 1853 pages
  • 4. Patient Education Improves compliance Better Outcomes = = Compliance
  • 5.
  • 6. Adherence & frequency of doses Osterberg L & Blaschke T. N Engl J Med. 2005;353:487-97.
  • 7. Smoking habit in COPD patients Med Clin (Barc) 1989;93:772-4 of patients on LTOT were current smokers 27% Current smokers 23% Hernández. Eur Resp J 2003;21:58-6 . Hospital at home 26% Eur Respir J 2000;16:1037-42 EFRAM Study
  • 8. Smoking & LTOT in Denmark 25.1% Ringbaek TJ, Lange P. Respir Med 2006; 100:218-25 Danish register Current smokers 21.1% NS 1994 2000
  • 9.
  • 10. Coulter A. BMJ 1999;319:719-20 Paternalism is endemic in the NHS
  • 11. LTOT prescriptions without ABG criteria 1984 1995 56% 40% Escarrabill. Lancet 1985:ii:779. Farrero. Arch Bronconeumol 1998;34:374-8 LTOT: compliance with guidelines LTOT Danish register 1994 65% Incorrect prescription 2005 LTOT < 15 h/day 65% Follow-up withdraw 33% Current smokers on LTOT 21% Ringbaek TJ & Lange P. Respir Med. 2006;100:218-25.
  • 12. LTOT: Improvement of the survival through the time
  • 13. JAMA 1998;279:1309 Provision of adequate context for new research results is one of the main problems in presenting medical and health news for the public. a tool for more effective communication between patients and physicians.
  • 14.
  • 15. Health literacy vs poor communication
  • 16. A powerful tool.... The pediatrician of my daughter typed systematically all the recommendations in an old typewriter
  • 17. Health literacy Health Literacy Health Education The degree to which people have de capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
  • 18.
  • 19.
  • 20. www.separ.es/ Public information about respiratory diseases
  • 23.
  • 25.
  • 26.
  • 27.
  • 28. Tutor patient: development of the project 2 Definition of competences What competences should have the tutor patient to be able to teach other patients? 3 Asking the patients Interviews Focus groups
  • 29. Tutor patient: development of the project Health professionals Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient Tutor patient Patient Patient Patient Patient Patient
  • 30.