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• Medical
Home
AAP Defines 'Medical Home' - The Best Care for Children
www.aap.org/advocacy/archives/julymedhome.htm
The term "medical home" has been used in medical and government
circles for approximately 10 years, but many different interpretations
of the term have led to confusion. New policy statement www.aap.org/policy/s060016.html
published in the July issue of Pediatrics, the peer-reviewed, scientific
journal of the American Academy of Pediatrics (AAP) or Pediatrics
electronic pages, the Internet extension of Pediatrics explains
the definition of the term, elements of a Medical Home and stresses
the importance of the medical home concept.
National Center of Medical Home Initiatives for Children with
Special Needs
www.medicalhomeinfo.org
The National Center of Medical Home Initiatives for Children with
Special Needs provides support to physicians, families, and other
medical and non-medical providers who care for children with special
needs so that they have access to a medical home. Center has inhouse
expertise as well as national contacts for all areas of care in
community setting.
• Department
of Defense DoD - Exceptional Family Member
Program (EFMP)
www.lifelines2000.org/communities/EFM/index.asp
The Exceptional Family Member Program (EFMP) is a mandatory program
designed to identify family members with long term health care or
special education needs. The program does the following: coordinates
with Overseas Screening to confirm the availability of medical and
educational support at overseas locations; identifies those who
require assignments within major medical areas; and identifies those
who are eligible for homesteading.
• Health
Care Literacy
Healthy People 2010 defines health literacy as “the degree
to which individuals have the capacity to obtain, process and understand
basic health information and services needed to make appropriate
health decisions.”
- Patients may not understand what doctors are telling them
- Many patients do have low literacy. According to a 1992 National
Adult Literacy survey, 46% of U.S. adults have difficulty understanding
sentences that have both words and numbers. And, of course, nearly
all health directions include words and numbers.
- atient education potentially increases the length of physician
visits.
- Keep it clear and simple for your patients.
SOURCE: American Medical Association – AMEDNEWS.COM
www.ama-assn.org/amednews/2002/08/05/prsf0805.htm
CENTER FOR ADVANCEMENT OF HEALTH
Facts of Life: Issue Briefings for Health Reporters- Vol. 8, No.
3 March 2003
www.cfah.org/factsoflife/vol8no3.cfm
- An average general practitioner conducts between 120,000 and
160,000 patient interviews during a 40-year professional career.
- The Institute for Healthcare Advancement estimates that the
average annual health care costs of people with very low literacy
may be four times greater than the general population’s.
- A study of 2,659 outpatients at two hospitals found that 42
percent did not understand instructions to “take medication
on an empty stomach,” and 49 percent could not determine
whether they were eligible for free care from reading a hospital
financial aid form. The same study also found a 52 percent increase
in the risk of hospitalization among patients with inadequate
literacy compared with patients with adequate literacy.
- A 2001 survey of 6,722 adults found that minority populations
are more likely to have difficulties communicating with their
healthcare providers compared with whites.
- Lack of diversity among health care providers can be a barrier
to culturally competent communication. Minorities make up 28 percent
of the U.S. population but only 3 percent of medical school faculty,
16 percent of public health school faculty and 17 percent of all
city and county health officers.
- Female primary care physicians tend to engage in longer visits
and have more “patient-centered” consultations than
their male colleagues do.
THE CROSS CULTURAL HEALTH CARE PROGRAM
www.xculture.org
CENTER FOR HEALTH CARE STRATEGIES INC.
Health Literacy - Fact Sheets
www.chcs.org/publications3960/publications_show.htm?doc_id=213137
BAYER INSTITUTE FOR HEALTH CARE COMMUNICATIONS
www.bayerinstitute.org
HARVARD SCHOOL OF PUBLIC HEALTH
Health Literacy Studies
www.hsph.harvard.edu/healthliteracy
NATIONAL LIBRARY OF MEDICINE
Health Literacy - Bibliography
www.nlm.nih.gov/pubs/cbm/hliteracy.html#170
UNIVERSITY OF NEW ENGLAND
Health Literacy Center
www.une.edu/hlit
The Center is located at the University of New England. The Center
provides consulting, training, and materials development to help
organizations create understandable health communications.
LITERACY.COM
Health Care Communication with Low Literate Patients
www.literacyonline.org/products/ili/pdf/ilproccm.pdf
This paper explains what happens when a patient with low literacy
reads health care information. It also addresses what has been done
to improve effective communication with low literate patients.
•
Limited English Proficiency
NATIONAL HEALTH LAW PROGRAM
ACCESS PROJECT
Language Services Action Kit: Interpreter Services in Health Care
Settings
for People with Limited English Proficiency
http://www.healthlaw.org/pubs/2003.lepactionkit.html
Language Services Action Kit for advocates and others working to
ensure that people with limited English proficiency in their state
get appropriate language assistance services in medical settings.
As the number of people with limited English proficiency in the
United States rises, the need for language services in health care
settings also grows. Federal laws require health care providers
to offer language services, such as interpretation and translation,
but many say they do not have the funds to do so. However, providers
and others are often unaware that federal funds are available to
help states pay for language services for patients covered by Medicaid
and the State Children’s Health Insurance Program (SCHIP).
Federal funding for interpreter and other language services can
benefit everyone: health care providers, state governments, and
patients with limited English skills in need of services. This offers
an unusual opportunity for these stakeholders and others to come
together to advocate for reimbursement for language services in
their state Medicaid and SCHIP programs. The Action Kit includes
materials that:
Explain the federal laws and policies that require health care providers
to ensure access to services for people with limited English proficiency;
Explain how states pay for Medicaid and SCHIP services, and how
they can get federal funding to help pay for language services,
such as interpretation, for program enrollees;
Describe models that some states have adopted to reimburse health
care providers for language services; • Provide information
and describe techniques you can use to demonstrate the need for
language services in advocacy campaigns;
List resources where you
may find additional information about language services; and
TO ORDER Language Services Action Kit. PRICE: $
25.00
Action Kit Order Form
http://www.healthlaw.org/pubs/2003LEPform.pdf
Or send an email with your mailing and billing information to lepactionkit@accessproject.org |