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HEALTH LITERACY A DETERMINANT FOR QUALITY Ruth Marie Donovan, Oslo 09 – 12.06 2015 My reflections draws upon ◦ William Kymlicka (Canadian politcal philosopher, Multiculturalism) ◦ Social inequality – Dahlgren & Whitehead ◦ Equity in health care ◦ Empowerment and participation ◦ Social marketing - promote health and reduce social inequalities The oldest, and probably the best definition of Health Promotion in the world Health Literacy ◦ Health Literacy has been defined as the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. Health Literacy means more than being able to read pamphlets and successfully make appointments. By improving people's access to health information and their capacity to use it effectively, health literacy is critical to empowerment. (WHO) ◦ Weak health literacy competencies have been shown to result in less healthy choices, riskier behaviour, poorer health, less self-management and more hospitalization. They significantly drain human and financial resources in the health system (WHO) ◦ People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health. Health promotion and Health Literacy ◦ The Ottawa Charter for Health Promotion defined health promotion as “the process of enabling people to increase control over, and to improve, their health. To reach our potential for health, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Make another pamphlet? Think again..... "Inequalities in health arise because of inequalities in society – in the conditions in which people are born, grow, live, work and age" Sir Michael Marmot, 2010 Health Literacy and self-management interventions for people with chronic conditions ◦ (1)Positive and Active Engagement in Life, (2)Health Directed Behaviour, (3) Skill and Technique Acquisition, (4) Constructive Attitudes and Approaches, (5) Self-Monitoring and Insight, (6) Health Service Navigation, (7) Social Integration and (8) Support and Emotional Wellbeing Osborne RH1, Elsworth GR, Whitfield K., 2007 Achieve Health Literacy ◦ Empowerment and participation ◦ Consumer-focused health information ◦ Understanding users needs ◦ Differentiate communication and information