Aportaciones de la alfabetización en salud a la seguridad del paciente en atención primaria: una revisión de alcance

Autores/as

DOI:

https://doi.org/10.5294/aqui.2024.24.1.4

Palabras clave:

Alfabetización en salud, seguridad del paciente, atención primaria de salud, enfermería, atención dirigida al paciente

Resumen

Introducción: el estudio aporta evidencias científicas sin precedentes para la expansión de la alfabetización en salud como herramienta capaz de aumentar la seguridad del paciente a través de una comunicación eficaz entre los profesionales de la salud y sus pacientes, especialmente en atención primaria. Objetivo: mapear la evidencia sobre el impacto de la alfabetización en salud en la seguridad de la atención a pacientes adultos en atención primaria. Material y método: revisión exploratoria según el método del Instituto Joanna Briggs, en la que se contemplaron cuidados, técnicas, protocolos o métodos de alfabetización en salud utilizados para mejorar la atención primaria de salud. Se utilizaron las bases de datos Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl y Google Scholar para la literatura gris. Se incluyeron los estudios originales disponibles en su totalidad, publicados hasta enero de 2023, en todos los idiomas que cubrían el tema. Dos pares seleccionaron por título y resumen, y tres pares leyeron los textos completos y extrajeron los datos de los artículos seleccionados, que se presentaron en flujogramas, tablas y narrativas descriptivas. Resultados: se encontraron 3749 estudios, de los que se seleccionaron 23. De ellos surgieron las siguientes categorías: “impacto de la alfabetización en salud sobre el compromiso y los resultados en salud de los usuarios de atención primaria”; “intervenciones que contribuyen a la alfabetización en salud en atención primaria” y “evaluación de las perspectivas de los usuarios y los profesionales sobre la alfabetización en salud”. Conclusiones: las intervenciones de alfabetización en salud centradas en la atención primaria deben fomentarse en los servicios de salud para promover la atención, prevenir enfermedades e inspirar el proceso de transformación de la población, lo que repercute directamente en la seguridad de los pacientes.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Astier-Peña MP, Martínez-Bianchi V, Torijano-Casalengua L, Ares-Blanco S, Bueno-Ortiz JM, et al. El Plan de acción mundial para la seguridad del paciente 2021-2030: identificando acciones para una atención primaria más segura. Aten Primaria [Internet]. 2021;53:102224. DOI: https://doi.org/10.1016/j.aprim.2021.102224

World Health Organization (WHO). Health promotion glossary of terms 2021. Geneva; 2021.

World Health Organization (WHO). Health literacy development for the prevention and control of noncommunicable diseases [Internet]. Genebra; 2022 [citado 13 abril 2023]. Disponível em: https://www.who.int/publications/i/item/9789240055391

Kim MT, Kim KB, Ko J, Murry N, Xie B, Radhakrishnan K et al. Health literacy and outcomes of a community-based self-help intervention: A case of Korean Americans with type 2 Diabetes. Nurs Res [Internet]. 2020;69(3):210-8. DOI: https://doi.org/10.1097/NNR.0000000000000409

Durrant LA, Taylor J, Thompson H, Usher K, Jackson D. Health literacy in pressure injury: Findings from a mixed-methods study of community-based patients and carers. Nurs Health Sci [Internet]. 2019;21(1):37-43. DOI: https://doi.org/10.1111/nhs.12429

Serbian AK, Santos NO Dos, Paskulin LMG. Effects of the Alpha-Health intervention on elderly’s health literacy in primary health care. Rev Bras Enferm. 2022;75(supl. 4):e20200978. DOI: https://doi.org/10.1590/0034-7167-2020-0978

Brasil. Assistência segura: uma reflexão teórica aplicada à prática. 2a ed. Brasília: Agência Nacional de Vigilância Sanitária; 2017.

Murugesu L, Heijmans M, Rademakers J, Fransen MP. Challenges and solutions in communication with patients with low health literacy: Perspectives of healthcare providers. PLoS One. 2022;17(5):e0267782. DOI: https://doi.org/10.1371/journal.pone.0267782

Lima RIM, Parente MA, Ferreira TISP, Coelho AAS, Loureiro EVS de, Barbosa TM et al. Letramento funcional em saúde de usuários da atenção primária de Altamira, Pará. Revista Brasileira de Medicina de Família e Comunidade. 2022;17(44):2763. DOI: https://doi.org/10.5712/rbmfc17(44)2763

Macinko J, Mendonça CS. Estratégia Saúde da Família, um forte modelo de Atenção Primária à Saúde que traz resultados. Saúde em Debate [Internet]. 2018 [citado 15 abril 2023];42(esp. 1):18-37. DOI: https://doi.org/10.1590/0103-11042018s102

Ghalenow H, Nikpeyma N, Kazemnejad A, Ansari M, Pashaeypoor S. Effect of educational program based on health literacy index on self-care ability among older adults: A randomized clinical trial. Int J Prev Med. 2022;13(1). https://doi.org/10.4103/ijpvm.IJPVM_506_20

Persai D, Balu RK, Singh K, Prabhu RR, Lahoti S, Rout S et al. Patient satisfaction with quality of primary care health services‐findings from India. Int J Health Plann Manage. 2022;37(4):2256-65. DOI: https://doi.org/10.1002/hpm.3467

Xiang Yang BR, Professor A, Xia LR, Luo DR, Liu QR, Jun Kang LB et al. Relationship between eHealth literacy and psychological status during COVID-19 pandemic: A survey of Chinese residents Post-graduate Student. J Nurs Manag. 2021;29(4):805-12. DOI: https://doi.org/10.1111/jonm.13221

World Health Organization. (2017). Promoting health in the SDGs: report on the 9th Global conference for health promotion, Shanghai, China, 21-24 November 2016: All for health, health for all. World Health Organization. https://iris.who.int/handle/10665/259183

Dias S, Gama A, Maia AC, Marques MJ, Campos Fernandes A, Goes AR, et al. Migrant communities at the center in co-design of health literacy-based innovative solutions for non-communicable diseases prevention and risk reduction: Application of the OPtimising HEalth LIteracy and Access (Ophelia) Process. Front Public Health [Internet]. 2021;9. DOI: https://doi.org/10.3389/fpubh.2021.639405

Nutbeam D, Muscat DM. Health Promotion Glossary 2021. Health Promot Int. 2021;36(6):1578-98. DOI: https://doi.org/10.1093/heapro/daaa157

Okan O, Bauer U, Levin-Zamir D, Pinheiro P, Sørensen K. International handbook of health literacy: Research, practice and policy across the lifespan. Bristol; 2019. p. 768. DOI: https://doi.org/10.56687/9781447344520

World Health Organization (WHO). Plano de ação global para a segurança do paciente 2021-2030: em busca da eliminação dos danos evitáveis nos cuidados de saúde. Genebra; 2021.

Jansen CJM, Van’T Jagt RK, Reijneveld SA, van Leeuwen E, de Winter AF, Hoeks JCJ. Improving health literacy responsiveness: A randomized study on the uptake of brochures on doctor-patient communication in primary health care waiting rooms. Int J Environ Res Public Health. 2021;18(9):5025. DOI: https://doi.org/10.3390/ijerph18095025

Visscher BB, Steunenberg B, Heijmans M, Hofstede JM, Devillé W, van der Heide I et al. Evidence on the effectiveness of health literacy interventions in the EU: a systematic review. BMC Public Health [Internet]. 2018;18(1):1414. DOI: https://doi.org/10.1186/s12889-018-6331-7

Fernandez-Gonzalez L, Bravo-Valenzuela P. Effective interventions to improve the health literacy of cancer patients. Ecancermedicalscience. 2019;13. DOI: https://doi.org/10.3332/ecancer.2019.966

Chang X, Wang K, Wang Y, Tu H, Gong G, Zhang H. Medication literacy in Chinese patients with stroke and associated factors: A cross-sectional study. Int J Environ Res Public Health. 2023;20(1):620. DOI: https://doi.org/10.3390/ijerph20010620

Peters MDJ, Godfrey C, McInerney P, Khalil H, Larsen P, Marnie C et al. Best practice guidance and reporting items for the development of scoping review protocols. JBI Evid Synth [Internet]. 2022;20(4):953-68. DOI: https://doi.org/10.11124/JBIES-21-00242

Munn Z, Aromataris E, Tufanaru C, Stern C, Porritt K, Farrow J et al. The development of software to support multiple systematic review types: The Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI Sumari). JBI Evid Implement [Internet]. 2019;17(1):36-46. DOI: https://doi.org/10.1097/XEB.0000000000000152

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D et al. PRISMA Extension for Scoping Reviews (Prisma-ScR): Checklist and explanation. Ann Intern Med [Internet]. 2018;169(7):467-73. DOI: https://doi.org/10.7326/M18-0850

Bernadette Mazurek Melnyk B, Fineout-Overholt E, Gallagher-Ford L, Stillwell SB. Sustaining evidence-based practice through organizational policies and an innovative model [Internet]. 2011;111(9):57-60. DOI: https://doi.org/10.1097/01.NAJ.0000405063.97774.0e

Abelsson T, Morténius H, Bergman S, Karlsson AK. Quality and availability of information in primary healthcare: The patient perspective. Scand J Prim Health Care [Internet]. 2020;38(1):33-41. DOI: https://doi.org/10.1080/02813432.2020.1718311

Aboumatar HJ, Carson KA, Beach MC, Roter DL, Cooper LA. The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. J Gen Intern Med. 2013;28(11):1469-76. DOI: https://doi.org/10.1007/s11606-013-2466-5

Altin SV, Stock S. The impact of health literacy, patient-centered communication and shared decision-making on patients’ satisfaction with care received in German primary care practices. BMC Health Serv Res. 2016;16(1):450. DOI: https://doi.org/10.1186/s12913-016-1693-y

Aoki T, Inoue M. Association between health literacy and patient experience of primary care attributes: A cross-sectional study in Japan. PLoS One. 2017;12(9):e0184565. DOI: https://doi.org/10.1371/journal.pone.0184565

Badaczewski A, Bauman LJ, Blank AE, Dreyer B, Abrams MA, Stein REK et al. Relationship between teach-back and patient-centered communication in primary care pediatric encounters. Patient Educ Couns. 2017;100(7):1345-52. DOI: https://doi.org/10.1016/j.pec.2017.02.022

Bailey SC, Wolf MS, Lopez A, Russell A, Chen AH, Schillinger D et al. Expanding the universal medication schedule: A patient-centred approach. BMJ Open [Internet]. 2014;4:3699. DOI: https://doi.org/10.1136/bmjopen-2013-003699

Burke NJ, Napoles TM, Banks PJ, Orenstein FS, Luce JA, Joseph G. Survivorship care plan information needs: perspectives of safety-net breast cancer patients. 2016;11(12):e0168383. DOI: https://doi.org/10.1371/journal.pone.0168383

Cabellos-García AC, Martínez-Sabater A, Ángel Díaz-Herrera M, Gea-Caballero V, Castro-Sánchez E. Health literacy of patients on oral anticoagulation treatment-individual and social determinants and effect on health and treatment outcomes. BMC Public Health. 2021;21:1363. DOI: https://doi.org/10.1186/s12889-021-11259-w

Cawthon C, Willens DE, Kripalani S. Implementing routine health literacy assessment in hospital and primary care patient. Joint Commission J Qual Patient Safety. 2014;40(2):68-76. https://doi.org/10.1016/S1553-7250(14)40008-4

Chauhan A, Walton M, Manias E, Walpola RL, Seale H, Latanik M et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19:118. DOI: https://doi.org/10.1186/s12939-020-01223-2

Nga Fu MFMS, Chi Dao M, Luk MBChBW, Choi Hing Lam EdDM, Sau Fan Ho I, Keung Cheung S et al. Cluster-randomized study on the risk assessment and management program for home blood pressure monitoring in an older population with inadequate health literacy. J Clin Hypertens [Internet]. 2020;22(9):1565-76. DOI: https://doi.org/10.1111/jch.13987

Gibson C, Smith D, Morrison AK. Improving health literacy knowledge, behaviors, and confidence with interactive training. Health Lit Res Pract. 2022;6(2):e113-20. DOI: https://doi.org/10.3928/24748307-20220420-01

Gunn CM, Maschke A, Paasche-Orlow MK, Kressin NR, Schonberg MA, Battaglia TA. Engaging women with limited health literacy in mammography decision-making: Perspectives of patients and primary care providers. J Gen Intern Med [Internet]. 2021;36(4):938-83. DOI: https://doi.org/10.1007/s11606-020-06213-2

Ishikawa H, Ikuko Yamaguchi Ba, Nutbeam D, Kato M, Okuhara T, Okada M et al. Improving health literacy in a Japanese community population: A pilot study to develop an educational programme. Health Expectations [Internet]. 2018;21(4):814-21. DOI: https://doi.org/10.1111/hex.12678

Kay M, Wijayanayaka S, Cook H, Hollingworth S. Understanding quality use of medicines in refugee communities in Australian primary care: A qualitative study. British Journal of General Practice [Internet]. 2016 [citado 11 out. 2022];66(647):e397-409. DOI: https://doi.org/10.3399/bjgp16X685249

Knowles S, Hays Mphil R, Senra H, Bower P, Locock L, Protheroe J et al. (2018). Empowering people to help speak up about safety in primary care: Using codesign to involve patients and professionals in developing new interventions for patients with multimorbidity. Health Expectations. 2018;21(2):539-48. DOI: https://doi.org/10.1111/hex.12648

Litchfield IJ, Bentham LM, Lilford RJ, Greenfield SM. (2014). Test result communication in primary care: Clinical and office staff perspectives. Fam Pract, . 2014;31(5):592-7. DOI: https://doi.org/10.1093/fampra/cmu041

McCune RL, Lee H, Pohl JM. Assessing health literacy in safety net primary care practices. Applied Nursing Research. 2016;29:188-94. DOI: https://doi.org/10.1016/j.apnr.2015.04.004

Nouri SS, Avila-Garcia P, Cemballi AG, Sarkar U, Aguilera A, Lyles CR. Assessing mobile phone digital literacy and engagement in user-centered design in a diverse, safety-net population: Mixed methods study. JMIR Mhealth Uhealth. 2019;7(8):e14250. DOI: https://doi.org/10.2196/14250

Rowlands G, Tabassum B, Campbell P, Harvey S, Vaittinen A, Stobbart L et al. The evidence-based development of an intervention to improve clinical health literacy practice. Int J Environ Res Public Health, 2020;17(5):1513. DOI: https://doi.org/10.3390/ijerph17051513

Seidling HM, Mahler C, Strauß B, Weis A, Stützle M, Krisam J et al. An electronic medication module to improve health literacy in patients with type 2 Diabetes Mellitus: Pilot randomized controlled trial. JMIR Form Res. 2020;4(4):e13746. DOI: https://doi.org/10.2196/13746

Valdovinos C, Perez-Aguilar G, Huerta RG, Barrios C, Gutierrez G, Mendez C, Abhat A, Moreno G, Brown A, Casillas A. Electronic health literacy among linguistically diverse patients in the Los Angeles Country safety net health system. Ethn Dis. 2022;32(1):21-30. DOI: https://doi.org/10.18865/ed.32.1.21

Yin HS, Jay M, Maness L, Zabar S, Kalet A. Health literacy: An educationally sensitive patient outcome. J Gen Intern Med. 2015;30(9):1363-71. DOI: https://doi.org/10.1007/s11606-015-3329-z

Publicado

2024-02-08

Cómo citar

Cavalcanti, E. de O., Figueiredo, P. S. de, Santos, L. C., Moreira, M. A. de J., Paulino, R. G., & Paranaguá, T. T. de B. (2024). Aportaciones de la alfabetización en salud a la seguridad del paciente en atención primaria: una revisión de alcance. Aquichan, 24(1), e2414. https://doi.org/10.5294/aqui.2024.24.1.4

Número

Sección

Artículos