Integrating literacy, culture, and language to improve health care quality for diverse populations

American Journal of Health Behavior

Volumn 31, Issue SUPPL. 1, 2007, Pages

  Andrulis, Dennis P ^a   Brach, Cindy ^b  

^a DREXEL UNIVERSITY   (United States)

^b AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

Author keywords

Communication; Cultural competence; Health literacy; Language barriers; Linguistic competence; Literacy; Minority health; Quality improvement

Indexed keywords

EID: 34548598284     PISSN: 10873244     EISSN: None     Source Type: Journal    
DOI: 10.5993/ajhb.31.s1.16     Document Type: Article

References (67)

1. Adult Basic and Literacy Education Interagency Coordinating Council. A Report on Health Literacy. Pennsylvania State University 2002.
2. Kripalani S, Henderson LE, Chiu EY, et al. Predictors of medication self management skill in a low-literacy population. J Gen Intern Med. 2006;21(8):852-856.
3. Literacy and Health Outcomes. Evidence Report/Technology Assessment No. 87. Agency Healthcare Research and Quality 2004.
4. Healthy People 2010: Understanding and Improving Health. 2nd ed. U.S. Department of Health and Human Services 2000.
5. Priority Areas for National Action: Transforming Health Care Quality. Institute of Medicine 2003.
6. Health Literacy: A Prescription to End Confusion. Institute of Medicine 2004.
7. Speaking of Health: Assessing Health Communication Strategies for Diverse Populations. Institute of Medicine Committee on Communication for Behavior Change in the 21st Century 2002.
8. Baker DW. The meaning and the measure of health literacy. J Gen Intern Med. 2006;21(8):878-883.
9. Towards a Culturally Competent System of Care: A Monograph on Effective Services for Minority Children Who Are Severely Emotionally Disturbed. CASSP Technical Assistance Center, Georgetown University Child Devel-opment Center 1989.
10. Heurtin-Roberts S, Reisin E. The relation of culturally influenced lay models of hypertension to compliance with treatment. Am J Hypertens. 1992;5(11):787-792.
11. According to the 2003 National Assessment of Adult Literacy, the racial and ethnic composition of adults scoring in the below basic and basic categories is as follows; 54% white, 18% black, 22% Hispanic, 4% Asian Pacific Islander, 1% Native Alaskan/American Indian, and 1% multiracial. These unpublished data were obtained from the American Institues for Research, the Department of Education contractor for that survey, August 28, 2006.
12. National Healthcare Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality 2005.
13. Calculation by author using data from the Population Division U.S. Census Bureau, Table 4: Annual Estimates of the Population by Age and Sex of White alone Not Hispanic for the United States: April 1, 2000 to July 1, 2005 (NC-EST2005-04-WANH). Available at: http://www.census.gov/popest/national/asrh/ NC-EST2005/NC-EST2005-04-WANH.xls Accessed August 18, 2006; and data from Kutner M, Greenberg E, Jin Y, et al. The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy. Washington DC: U.S. Department of Education 2006.
14. Kutner M, Greenberg E, Jin Y, et al. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Washington DC: U.S. Department of Education 2006.
15. Pignone M, DeWalt DA, Sheridan S, et al. Interventions to improve health outcomes for patients with low literacy. A systematic review. J Gen Intern Med. 2005;20(2):185-192.
16. Communicating with Patients Who Have Limited Literacy Skills. Report of the National Work Group on Literacy and Health. J Fam Pract. 1998;46(2): 168-176.
17. Parker RM, Davis TC, Williams MV. Patients with limited health literacy. In: Bateman W, (Ed). Patient and Family Education in Managed Care. New York: Springer 1999:63-72.
18. Bass PF 3rd, Wilson JF, Griffith CH, et al. Residents' ability to identify patients with poor literacy skills. Acad Med. 2002;77(10):1039-1041.
19. Baker DW, Williams MV, Parker RM, et al. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33-42.
20. Parker RM, Baker DW, Williams MV, et al. The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995;10(10):537-541.
21. Weiss BD, Mays MZ, Martz W, et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514-522.
22. Health Research and Educational Trust. A toolkit for collecting race, ethnicity, and primary language information from patients (online). Available at: http://www.hretdisparities.org/hretdisparities-app/index.jsp. Accessed August 23, 2006.
23. Hasnain-Wynia R, Baker DW. Obtaining data on patient race, ethnicity, and primary language in health care organizations: current challenges and proposed solutions. Health Serv Res. 2006;41(4Pt1):1501-1518.
24. Flores G, Abreu M, Tomany-Korman SC. Limited English proficiency, primary language at home, and disparities in children's health care: how language barriers are measured matters. Public Health Rep. 2005;120(4):418-430.
25. Lloyd LL, Ammary NJ, Epstein LG, et al. A transdisciplinary approach to improve health literacy and reduce disparities. Health Promot Pract. 2006;7(3):331-335.
26. Parikh NS, Parker RM, Nurss JR, et al. Shame and health literacy: the unspoken connection. Patient Educ Couns. 1996;27(1):33-39.
27. Wallace LS, Rogers ES, Roskos SE, et al. Brief report: screening items to identify patients with limited health literacy skills. J Gen Intern Med. 2006;21(8):874-877.
28. Weiss BD. Health literacy: A Manual for Clinicians. American Medical Association Foundation and American Medical Association 2003.
29. Paasche-Orlow MK, Schillinger D, Greene SM, et al. How health care systems can begin to address the challenge of limited literacy. J Gen Intern Med. 2006;21(8):884-887.
30. Atchison KA, Black EE, Leathers R, et al. A qualitative report of patient problems and postoperative instructions. J Oral Maxillofac Surg. 2005;63(4):449-456.
31. Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88(2):251-258.
32. Cooper LA, Beach MC, Clever SL. Participatory decision-making in the medical encounter and its relationship to patient literacy. In Schwartzberg JG, VanGeest JB, Wang CC, (Eds). Understanding Health Literacy: Implications for Medicine and Public Health. Chicago: AMA Press 2005:101-117.
33. Brach C, Fraser I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review. 2000;57(S1): 181-217.
34. Schillinger D, Davis T. A conceptual frame-work for the relationship between health literacy and health care outcomes: the chronic disease exemplar. In Schwartzberg JG, VanGeest JB, Wang CC, (Eds). Understanding Health Literacy: Implications for Medicine and Public Health. Chicago: AMA Press 2005:181-203.
35. A Primer for Cultural Proficiency: Towards Quality Health Services for Hispanics. The National Alliance for Hispanic Health 2001.
36. Todd KH. Influence of ethnicity on emergency department pain management. Emerg Med. 2001;13(3):274-278.
37. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004;43(4):494-503.
38. Fang MC, Machtinger EL, Wang F, et al. Health literacy and anticoagulation-related outcomes among patients taking warfarin. J Gen Intern Med. 2006;21(8):841-846.
39. Davis TC, Wolf MS, Bass PF 3rd, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-851.
40. Baker DW, Parker RM, Williams MV, et al. The health care experience of patients with low literacy. Arch Fam Med. 1996;5(6):329-334.
41. Wilson E, Chen AH, Grumbach K, et al. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20(9):800-806.
42. Schillinger D. Lethal Cap (on-line). Available at: http://www.webmm.ahrq. gov/case.aspx?caseID=53. Accessed June 7, 2005.
43. Leyva M, Sharif I, Ozuah PO. Health literacy among Spanish-speaking Latino parents with limited English proficiency. Ambul Pediatr. 2005;5(1):56-59.
44. American Pharmacists Association. 2005 action of the APHA house of delegates (on-line). Available at: http://www.aphanet.org/AM/Template.cfm? Section=Search§ionAbout_APhA1&template=/CM/ContentDisplay. cfm&ContentFileID=454. Accessed June 20, 2005.
45. Zarcadoolas C, Blanco M. Lost in translation: each word accurate, yet.... Managed Care 2000.
46. Gerber BS, Brodsky IG, Lawless KA, et al. Implementation and evaluation of a low-literacy diabetes education computer multimedia application. Diabetes Care. 2005;28(7): 1574-1580.
47. Hahn EA, Cella D, Dobrez D, et al. The talking touchscreen: a new approach to outcomes assessment in low literacy. Psychooncology. 2004;13(2):86-95.
48. Health Literacy: Responding To The Need For Help. Center for Medicare Education 2001.
49. Roundtable on Health Information Technology and Health Disparities for English Limited Proficiency and Low Literacy Populations. Agency for Healthcare Research and Quality, July 20, 2005.
50. Kim SP, Knight SJ, Tomori C, et al. Health literacy and shared decision making for prostate cancer patients with low socioeconomic status. Cancer Invest. 2001;19(7):684-691.
51. U.S. Department of Health and Human Services Office of the Secretary. National standards for culturally and linguistically appro-priate services in health care. Federal Register. 2000;65(247):80865-80879.
52. National Council on Interpreting in Health Care. Standards of practice for Interpreters in Health Care, (online) National Council on Interpreting in Health Care. Available at: http://www.ncihc.org/NCIHC_PDF/ National_Standards_of_Practice_for_Interpreter_in_Health_Care.pdf. Accessed August 23, 2006.
53. An Ethical Force Program Consensus Report. Improving Communication- Improving Care: How Health Care Organizations Can Ensure Effective, Patient-Centered Communication with People From Diverse Populations. Ethical Force Program American Medical Association 2006.
54. AQA. AQA (on-line). Available at: http://www.aqaalliance.org/. Accessed August 23, 2006.
55. Crossing the Quality Chasm: A New Health System for the 21st Century Institute of Medicine 2001, p. 5.
56. Beach MC, Price EG, Gary TL, et al. Cultural competence: a systematic review of health care provider educational interventions. Med Care. 2005;43(4):356-373.
57. Rosenthal MS, Werner MJ, Dubin NH. The effect of a literacy training program on family medicine residents. Fam Med. 2004;36(8):582-587.
58. Ferreira MR, Dolan NC, Fitzgibbon ML, et al. Health care provider-directed intervention to increase colorectal cancer screening among veterans: results of a randomized controlled trial. J Clin Oncol. 2005;23(7): 1548-1554.
59. Karliner LS, Perez-Stable EJ, Gildengorin G. The language divide. The importance of training in the use of interpreters for outpatient practice. J Gen Intern Med. 2004;19(2):175-183.
60. Providing Language Interpretation Services in Health Care Settings: Examples from the Field. National Health Law Program, August 2002.
61. Rothschild B, Bergstrom M. The California Health Literacy Initiative: a statewide response to an invisible problem. Literacy Harvest. 2004;11(1):25-29.
62. Wirthlin Worldwide. Hablamos juntos: we speak together. Robert Wood Johnson Foundation 2002.
63. D'Avanzo CE. Barriers to health care for Vietnamese refugees. J Prof Nurs. 1992;8(4):245-253.
64. Tassi A. The emergence of health literacy as a public policy priority: from research to consensus to action. Literacy Harvest. 2004;11(1):5-10.
65. Rudd R. Navigating hospitals: literacy barriers. Literacy Harvest. 2004;Fall: 19-24.
66. Hablamos Juntos. Signs that work (on-line). Available at: www.hablamosjuntos.org/signage/default.index.asp. Accessed June 22, 2005.
67. Saha S. Improving literacy as a means to reducing health disparities. J Gen Intern Med. 2006;21(8):893-895.