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Advisor(s)
Abstract(s)
Alguns estudos têm demonstrado a relação existente entre uma maior e mais estruturada participação do doente na tomada de decisão clínica, a melhoria da literacia em saúde e a obtenção de ganhos em saúde. Porém, a existência de equívocos por parte de médicos e de outros profissionais de saúde, poderá contribuir para a fraca adesão destes em relação à decisão clínica partilhada e à discussão das opções terapêuticas, sobretudo com doentes de baixo nível de literacia. Com este ensaio crítico, pretende-se esclarecer estes equívocos, tendo, para tal, aprofundado uma reflexão e uma análise sobre elementos decisivos da comunicação centrada no utente – literacia em saúde e decisão partilhada. Apresentaram-se questões relevantes em torno da literacia e da decisão partilhada, matéria sobre a qual se desenvolveu o conteúdo crítico. Este desenvolvimento constitui a parte mais extensa do ensaio. Transmitiu-se o ponto de vista de vários autores e uma análise crítica e ilustrou-se essas ideias com exemplos e estudos de investigação, validando, desta forma, os argumentos apresentados e respondendo às questões suscitadas durante a análise. Nas considerações finais deste ensaio crítico salienta-se que, promovendo uma maior participação do utente na tomada de decisão clínica, se melhora o nível da literacia em saúde através de uma comunicação centrada no doente, efetuada por profissionais qualificados que tenham em consideração as determinantes sociais e se obtêm ganhos em saúde.
ABSTRACT - Some studies have shown the relationship between an increased and more structured involvement of patients in clinical decision making, the improvement of literacy in health and the obtainment of health gains. However, the existence of misconceptions on the part of doctors and other health professionals may contribute to their low compliance regarding shared clinical decision and discussion of treatment options, particularly with users with low levels of literacy. With this critical essay, we intend to clarify these misconceptions, by doing an in depth reflection and analysis on communication’s key elements centered on the patient – health literacy and shared decision. Relevant issues about literacy in health and shared decision were presented, on which critical content was developed. This development is the most extensive part of the essay. We transmitted the point of view of several authors and a critical analysis, and we tried to illustrate these ideas with examples and research studies, thus validating the presented arguments and answering to questions raised during the analysis. Final considerations of this critical essay stress that promoting an increased user participation in clinical decision making improves the level of health literacy, through a patient-focused communication performed by qualified professionals taking into consideration social determinants, and health gains are obtained.
ABSTRACT - Some studies have shown the relationship between an increased and more structured involvement of patients in clinical decision making, the improvement of literacy in health and the obtainment of health gains. However, the existence of misconceptions on the part of doctors and other health professionals may contribute to their low compliance regarding shared clinical decision and discussion of treatment options, particularly with users with low levels of literacy. With this critical essay, we intend to clarify these misconceptions, by doing an in depth reflection and analysis on communication’s key elements centered on the patient – health literacy and shared decision. Relevant issues about literacy in health and shared decision were presented, on which critical content was developed. This development is the most extensive part of the essay. We transmitted the point of view of several authors and a critical analysis, and we tried to illustrate these ideas with examples and research studies, thus validating the presented arguments and answering to questions raised during the analysis. Final considerations of this critical essay stress that promoting an increased user participation in clinical decision making improves the level of health literacy, through a patient-focused communication performed by qualified professionals taking into consideration social determinants, and health gains are obtained.
Description
Keywords
Decisão partilhada Literacia em saúde Ganhos em saúde Doente Profissional de saúde Shared decision Health literacy Health gains Patient Health professional
Citation
Varela A. O papel da literacia em saúde na decisão médica partilhada. Saúde & Tecnologia. 2016;(16):44-9.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa