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Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

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Page 1: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Health Literacy

Integrating Health Literacy, Cultural Competency, & Language Access Services

Health Literacy

Michael Wolf, PhD MPH

Page 2: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Healthcare -Qua l i ty -Safety -Equi ty

Page 3: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 4: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 5: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 6: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 7: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 8: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Key Concepts: Health LiteracyKey Concepts: Health Literacy Both a Risk Factor and Outcome

Both an Individual and Societal Trait

Both Context-dependent and Modifiable

Emphasis on accessing, understanding, and applying information to make informed health decisions

Strong ties to socioeconomic status, race/ethnicity, age

Solutions require changes to health system and beyond

Page 9: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

1. Health systems must expect/prepare for diversity (by HL, culture, & language)

- healthcare communications

- provider training

- workflow

Integration with Cultural Competency, Language Access

Page 10: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

1. Health systems must expect/prepare for diversity (by HL, culture, & language)

- healthcare communications

- provider training

- workflow

Integration with Cultural Competency, Language Access

? is the investment justifiable?

Page 11: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

2. All represent vulnerable populations with known disparities; thus ongoing assessment is warranted.

Integration with Cultural Competency, Language Access

Page 12: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

2. All represent vulnerable populations with known disparities; thus ongoing assessment is warranted.

Integration with Cultural Competency, Language Access

? how do we measure each

Page 13: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

2. All represent vulnerable populations with known disparities; thus ongoing assessment is warranted.

Integration with Cultural Competency, Language Access

? what can be gathered by electronic health records

? how do we measure each

Page 14: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

3. Interventions must target improving access to understandable, actionable health information.

- health literacy standards apply to all

- ‘patient-centered’ approach

- link to behavior change, health outcomes for ‘business case’

Integration with Cultural Competency, Language Access

Page 15: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Integration with Cultural Competency, Language Access

3. Interventions must target improving access to understandable, actionable health information.

- health literacy standards apply to all

- ‘patient-centered’ approach

- link to behavior change, health outcomes for ‘business case’

Integration with Cultural Competency, Language Access

? what is a sufficient ‘business case’

Page 16: Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

Michael Wolf, MA MPH PhDProfessor, Medicine & Learning SciencesAssociate Vice Chair, Department of MedicineAssociate Division Chief – ResearchGeneral Internal Medicine & [email protected]