reaching underserved populations ana m. macias, mlis, ahip, mph kaiser permanente northern...
TRANSCRIPT
Reaching Underserved Populations
Ana M. Macias, MLIS, AHIP, MPH
Kaiser Permanente Northern California
Librarians in the Field
kplibraries.libguides.com/home
2
Health Literacy: Two Diverse Populations
3
DIXON MIGRANT CENTER
Health Fair Outreach Event
Screenings:
Nutrition Education
Basic Health Services
Health Education
Children’s Educational Resources
MedlinePlus- Hypertension, Diabetes, Cholesterol, Glaucoma
Used with permission from Yolo County Housing Authority
Sacramento Clinic
Dental, Medical and Vision Care
Patients seen: 3,210
Services provided: 13,325
Value of Services: $1,345,774
4
* Formerly known as RAM California
Veteran Stand Down Clinic
Patients seen: 226
Services provided: 706
Value of services: $103,065
Used with permission from California Care Force, a California nonprofit organization 501(c)3
5
Working Outside the Box
• Population Challenges
– Limited reading ability
– Language barriers
– Lack of insurance
– Homelessness
• Health Literacy
– Diabetes
– Glaucoma
– Hypertension
– Videos
http://www.californiacareforce.org
Used with permission from California Care Force, a California nonprofit organization 501(c)3
6
Restoring Vision- Renewing Hope
• Eligibility
– Poor vision due to
cataracts
– No health insurance
– No other means to pay
for cataract surgery
– Limited daily activity
MISSION CATARACTS - USA
Health Information:
Before/After CarePost-operative careFree Community ServicesCataract Surgery Information
7
Health Literacy- A national problem
Institute of Medicine…“The degree to which individuals have the capacity to obtain,process and understand basic health information and services needed to make appropriate health decisions.” — Source: Healthy People 2010
1. Patient – Physician Communication
2. Drug labeling, medical instructions, medical compliance
3. Health information publications and other resources
Adults Health Literacy Level
Source: U.S. Department of Education, Institute of Education Sciences, 2003 National Assessment of Adult Literacy.
8
Becoming Health Literacy Agents
• Low health literacy= less capable of
caring for themselves
• Knowledge of disease is limited
• IOM 48% adults lack reading/numeracy
skills need to act on health information.
• Functional literacy is starting point
• Lifelong learning for all
• We possess skills set needed
9
10
REFERENCES
1. Blumenthal, J. (2014). Creating the future. J Med Libr Assoc, 102(1), 2-4. doi: 10.3163/1536-5050.102.1.002
2. Cho, Y. I., Lee, S. Y., Arozullah, A. M., & Crittenden, K. S. (2008). Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med, 66(8), 1809-1816. doi: 10.1016/j.socscimed.2008.01.003
3. Estacio, E. V. (2013). Health literacy and community empowerment: it is more than just reading, writing and counting. J Health Psychol, 18(8), 1056-1068. doi: 10.1177/1359105312470126
4. Medicine, I. o. (2004). Health Literacy: A Prescription to End Confusion. In L. Nielsen-Bohlman, A. M. Panzer & D. A. Kindig (Eds.), Health Literacy: A Prescription to End Confusion. Washington DC: 2004 by the National Academy of Sciences.
5. Nutbeam, D. (2008). The evolving concept of health literacy. Soc Sci Med, 67(12), 2072-2078. doi: 10.1016/j.socscimed.2008.09.050
6. Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2007). Health literacy and health risk behaviors among older adults. Am J Prev Med, 32(1), 19-24. doi: 10.1016/j.amepre.2006.08.024
7. America's Health Literacy: Why We Need Accessible Health Information. An Issue Brief From the U.S. Department of Health and Human Services. 2008.