Health literacy among pharmacy visitors in the Netherlands

Koster, Ellen S.; Philbert, Daphne; Bouvy, Marcel L.

doi:10.1002/pds.3803

Cited by 31 publications

(35 citation statements)

References 37 publications

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“…This is in line with findings reported in the literature (Chew et al 2004; Koster et al 2015; van der Heide et al 2015). However, the predictive power of our model was not very high, suggesting that healthcare professionals cannot solely depend on age, education level and non-Western background to identify patients at risk of having limited health literacy.…”

Section: Discussionsupporting

confidence: 93%

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Health literacy of patients admitted for elective surgery

et al. 2016

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AimPatients with limited health literacy have poorer surgical outcomes. However, current studies assessing the prevalence of limited health literacy in patients expecting surgery are small scale. We aimed to provide insight into the health literacy level of patients undergoing planned surgery.Subject and MethodsPatients aged ≥18 years visiting the preoperative screening department were approached in the waiting area and invited to participate in a brief interview including the Functional Communicative Critical Health Literacy (FCCHL).ResultsIn total, 225 patients (84.9% response) were studied. Based on the FCCHL, 37.3% of the patients were classified as having limited health literacy. The mean score in the critical domain (2.7 ± 0.9) was lower than scores in the functional (3.3 ± 0.6) and communicative (3.3 ± 0.6) domains.ConclusionMore than one third of the patients admitted to the hospital for surgery had limited health literacy. Healthcare professionals should be aware of the different health literacy levels and tailor their information provision strategies accordingly.

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Section: Discussionsupporting

confidence: 93%

“…Low health literacy has previously been associated with poorer surgical outcomes and misunderstanding of information (Koster et al 2015). Inadequate understanding of information or instructions may also have negative consequences for the hospital in terms of delayed or cancelled surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Health literacy of patients admitted for elective surgery

et al. 2016

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“…In the Netherlands, Koster et al confirmed these findings in an immigrant population with poor knowledge of Dutch and found that the instruction to use prescriptions as needed and auxiliary labels are problematic: 40% of label instructions were understood correctly . In another study, they confirmed the association between low health literacy and problems with understanding prescription labels …”

Section: Introductionmentioning

confidence: 83%

Nature and frequency of dosing instructions on prescription labels in primary care

Borgsteede¹,

Heringa

2019

Pharmacoepidemiology and Drug

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Purpose To investigate the nature and frequency of dosing instructions and auxiliary labels on prescription labels in primary care. Methods A retrospective analysis of data on prescription labels of dispensed drugs extracted from the pharmacy information system of community pharmacies in the Netherlands. Dosing instructions were categorized into four types. Results Data were extracted from 123 community pharmacies. All drugs dispensed for a random sample of 10% of patients were selected. In the sample of 938 479 prescriptions, 96% had a predefined dosing instruction and 2995 different coded instructions were used. Ninety‐five percent of all instructions were covered by 354 coded instructions. Most prescriptions were coded with an instruction indicating once daily use (48.4%) or twice or more times daily use (23.8%) without specification of the time (eg, “1 tablet 1 time a day”). A general instruction (“use as directed”) was given for 7.0% of all prescriptions, and for 6.0%, the instruction was to use “as needed.” For most prescriptions (80.6%), one or more auxiliary labels were generated with the warning “may cause drowsiness” (17.9%) being the most frequent one. Conclusions A limited set of instructions covered the majority of the prescriptions. About a quarter of the prescription labels contained nonspecific dosing instructions for use multiple times a day, and 13.0% were general or “use as needed” instructions. These instructions can potentially be made more comprehensible by rewording and specification of the time of day.

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“…In addition, the interviews were guided by a structured interview protocol; therefore, we assume this limitation will not affect our findings. We frequently work with pharmacy interns and successfully used students for data collection in our previous studies . It should be noted that the social desirability bias may have influenced the respondents and that in daily clinical practice their actual behaviour to attend for patients with limited health literacy patients may be different.…”

Section: Discussionmentioning

confidence: 99%

“…An important reason for incorrect use of medicines might be patients’ misunderstanding of – both written and verbal – information or instructions given by healthcare providers . Previous studies have shown that patients often experience difficulties in understanding medication related information, such as medicine information leaflets and drug labels …”

Section: Introductionmentioning

confidence: 99%

“These patients look lost” – Community pharmacy staff’s identification and support of patients with limited health literacy

Koster

Philbert

Blom

et al. 2016

International Journal of Pharmacy Practice

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Objective To date, routine use of health literacy assessment in clinical settings is limited. The objective of this study was to explore if community pharmacy staff can identify patients with limited health literacy, how they identify patients and how they support patients to improve medication use. In addition, perceived barriers in providing care for patients with limited health literacy were assessed. Methods Structured face-to-face interviews with pharmacy staff were performed in 27 community pharmacies. Questions concerned pharmacy staff's experiences with limited health literacy during their work, e.g. recognition of patients, communication strategies and possible interventions for this patient group to improve medication use.

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Health literacy among pharmacy visitors in the Netherlands

Cited by 31 publications

References 37 publications

Health literacy of patients admitted for elective surgery

Health literacy of patients admitted for elective surgery

Nature and frequency of dosing instructions on prescription labels in primary care

“These patients look lost” – Community pharmacy staff’s identification and support of patients with limited health literacy

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