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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