The Safe Use Initiative and Health Literacy Workshop Summary (2010) / Chapter Skim
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5 Identifying Activities Around Which to Build Partnerships for Patient-Centered Drug Safety
5 Identifying Activities Around Which to Build Partnerships for Patient-Centered Drug Safety
Pages 33-48
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From page 33... ...
. People with low literacy have more trouble than those with higher health literacy TABLE 5-1 Understanding Label Information Percent Voicing Understanding Common Rx Bottle Warning Labels Lowest Level Readers Basic Level Readers Take with food 61 89 Medication should be taken with 14 52 plenty of water Refrigerate, shake well, discard 0 13 after (date)
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From page 34... ...
GlaxoSmithKline has made a concerted effort to foster internal awareness of health literacy principles and facilitated application of those prin ciples to patient- and consumer-directed materials. The company developed standardized health literacy training that is available across the organization including the marketing departments, patient recruitment and product labeling teams, and research and development staff.
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From page 35... ...
Yes Written by drug MedGuide Certain Rx meds with serious and company significant public health concerns FDA approved as decided by the FDA -- currently 180+ Yes Written by drug Patient Package Insert (PPI) Oral contraceptives and medicines company with estrogen FDA approved No Written by drug Patient Information company Leaflet (PIL)
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From page 36... ...
Three collaborative opportunities involving pharmacy are specific to health literacy: prescription container labeling, patient counseling, and consumer medication information (CMI)
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From page 37... ...
The guidance states, for example, that information about the effectiveness of treatment should be limited to physical reactions that a patient can detect. Yet roughly half of the criteria set forth for one of the drugs, Lisinopril, dealt with laboratory tests that had nothing to do with physical reactions.
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From page 38... ...
This research also reveals that low health literacy and moderate health literacy are problems, not only with health, but also with how people experience their health insurance plan, in this case, Aetna. 2 Only 28 percent of members with low literacy strongly agree that it is easy to find out what is covered and what is not by their health plan (Table 5-5)
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From page 39... ...
I actively seek information to improve my health and well- 55% 44% 63% 66%A being NOTE: * Questions included in the DSS health literacy algorithm.
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From page 40... ...
I am comfortable contacting Aetna if I have a question or 74% 66% 75% 86%A concern It is easy to find out if a doctor or hospital is in my health 68% 55% 71% 84%A plan's network It is easy to reach a live person at Aetna 57% 48% 65% 66% I am confident that it will be easy to get Aetna to answer or 55% 40% 58% 73%A address my questions and concerns Aetna provides access to the information I need to make 55% 42% 52% 77%AB informed decisions about my health care* It is easy to find out what's covered and what's not by my 46% 28% 48%A 71%AB health plan NOTES: *
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From page 41... ...
Griffiths concluded her presentation by saying that opportunities to partner include patient safety collaborations to help patients understand, safely use, and adhere to medication protocols; personal health records as vehicles for educational outreach; formulary simplification and education; and data sharing among the care team to improve patient understanding and confidence. HEALTH PLANS Susan Pisano America's Health Insurance Plans The community of health plans is eager to collaborate to promote safe use of medications; it is the right thing to do, said Pisano.
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From page 42... ...
NATIONAL CONSUMERS LEAGUE Mimi Johnson national Consumers League The National Consumers League (NCL) is the nation's oldest consumer advocacy organization, founded in 1899 to protect and promote social and economic justice for consumers and workers in the United States and abroad.
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From page 43... ...
Drug companies are excited about coordinating unbranded dissemination to health care practitioners. In the NCL's experience, health care practitioners need to be prepared for the launch of a national campaign to educate consumers.
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From page 44... ...
The electronic medical records and personal health records offer an opportunity to make some information more easily available to patients. For example, there could be tools to print out an icon of the different medications to show a patient and explain why they are taking the drug.
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From page 45... ...
Johnson & Johnson's Scott Ratzan pointed out that with health literacy integrated into health care reform, there are opportunities to increase efforts in this area, perhaps through funding for research. He sees opportunities in public-private partnerships to speed diffusion of safe use and health literacy and strategic health communications.
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From page 46... ...
Using electronic health records, doctors can be given standardized, simple language about a drug to talk with the patient, Wolf said. He explained that Debra Roter at Johns Hopkins University is working on a plain language dictionary of complex medical terms.
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From page 47... ...
Bullman said that about 2 years ago NCPIE ran focus groups with consumers who were taking medications for acute self-limiting problems and patients taking medicines for which there is a required a medication guide. Of the second group, none were familiar with the medication guide, but once they worked through the guide and talked through what they had learned from the med guides, they consistently felt it was the kind of information they should talk about with their doctors.
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