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Reaching Underserved Populations
Ana M. Macias, MLIS, AHIP, MPH
Kaiser Permanente Northern California
Librarians in the Field
kplibraries.libguides.com/home
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Health Literacy: Two Diverse Populations
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DIXON MIGRANT CENTER
Health Fair Outreach Event
Screenings:
Nutrition Education
Basic Health Services
Health Education
Children’s Educational Resources
MedlinePlus- Hypertension, Diabetes, Cholesterol, Glaucoma
Used with permission from Yolo County Housing Authority
Sacramento Clinic
Dental, Medical and Vision Care
Patients seen: 3,210
Services provided: 13,325
Value of Services: $1,345,774
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* Formerly known as RAM California
Veteran Stand Down Clinic
Patients seen: 226
Services provided: 706
Value of services: $103,065
Used with permission from California Care Force, a California nonprofit organization 501(c)3
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Working Outside the Box
• Population Challenges
– Limited reading ability
– Language barriers
– Lack of insurance
– Homelessness
• Health Literacy
– Diabetes
– Glaucoma
– Hypertension
– Videos
http://www.californiacareforce.org
Used with permission from California Care Force, a California nonprofit organization 501(c)3
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Restoring Vision- Renewing Hope
• Eligibility
– Poor vision due to
cataracts
– No health insurance
– No other means to pay
for cataract surgery
– Limited daily activity
MISSION CATARACTS - USA
Health Information:
Before/After CarePost-operative careFree Community ServicesCataract Surgery Information
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Health Literacy- A national problem
Institute of Medicine…“The degree to which individuals have the capacity to obtain,process and understand basic health information and services needed to make appropriate health decisions.” — Source: Healthy People 2010
1. Patient – Physician Communication
2. Drug labeling, medical instructions, medical compliance
3. Health information publications and other resources
Adults Health Literacy Level
Source: U.S. Department of Education, Institute of Education Sciences, 2003 National Assessment of Adult Literacy.
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Becoming Health Literacy Agents
• Low health literacy= less capable of
caring for themselves
• Knowledge of disease is limited
• IOM 48% adults lack reading/numeracy
skills need to act on health information.
• Functional literacy is starting point
• Lifelong learning for all
• We possess skills set needed
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REFERENCES
1. Blumenthal, J. (2014). Creating the future. J Med Libr Assoc, 102(1), 2-4. doi: 10.3163/1536-5050.102.1.002
2. Cho, Y. I., Lee, S. Y., Arozullah, A. M., & Crittenden, K. S. (2008). Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med, 66(8), 1809-1816. doi: 10.1016/j.socscimed.2008.01.003
3. Estacio, E. V. (2013). Health literacy and community empowerment: it is more than just reading, writing and counting. J Health Psychol, 18(8), 1056-1068. doi: 10.1177/1359105312470126
4. Medicine, I. o. (2004). Health Literacy: A Prescription to End Confusion. In L. Nielsen-Bohlman, A. M. Panzer & D. A. Kindig (Eds.), Health Literacy: A Prescription to End Confusion. Washington DC: 2004 by the National Academy of Sciences.
5. Nutbeam, D. (2008). The evolving concept of health literacy. Soc Sci Med, 67(12), 2072-2078. doi: 10.1016/j.socscimed.2008.09.050
6. Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2007). Health literacy and health risk behaviors among older adults. Am J Prev Med, 32(1), 19-24. doi: 10.1016/j.amepre.2006.08.024
7. America's Health Literacy: Why We Need Accessible Health Information. An Issue Brief From the U.S. Department of Health and Human Services. 2008.