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Public Libraries: The Consumer Health Information Connection for Utah! Helping Your Patrons, Patients & Providers Access “Healthy” Information. Health Clinics & Public Libraries: Building Healthy Partnerships for Utah. A Statewide Project Initiated by:
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Public Libraries: The Consumer Health Information Connection for Utah! Helping Your Patrons, Patients & Providers Access “Healthy” Information
Health Clinics & Public Libraries: Building Healthy Partnerships for Utah A Statewide Project Initiated by: Utah Women’s Health Information Network (UWIN) Clinic/Public Library Partnership Initiative Community Health Centers + local public libraries = Better health information in the community
Women are the health information gatekeepers for their families Shared Goals: Improve access to reliable health information for patients & providers-same goal for clinics and public libraries! Improve health care for Utah women & thus all Utah residents & their families To begin-HHS/Office on Women's Health/ Univ. of Utah, Health Sciences Center/-Grant to develop Clinic/Public Library partnerships to disseminate health information statewide…
HOW DO WE MAKE LIBRARIES PART OF THE HEALTH CARE TEAM? • Community library approaches neighborhood clinic or health care facility to develop partnership • Librarian explains health resources @ library and willingness to partner for referral of patients seeking health/patient education • Librarian is trained in reliable health information • Clinic is provided with Information Rx tailored in order to refer patients to library for more health information
Materials & Training In Development English & Spanish For Librarians-Toolkits Training & Materials-paper/online-How to help patrons with consumer health questions Posters & bookmarks in library-”Good Health Information @ Your Library For Clinics- Information Rx Posters & bookmarks for clinics with maps & directions to neighborhood library-”Good Health Information @ Your Library” Reach out & Read label on give away books-”Like this book”-there are lots more @ your neighborhood library For the Public-Public Relations Campaign Media coverage statewide (TV spot available online), bookmarks Libraries can contact local media with materials provided (press releases, etc)
Your Information Rx Fill @ Your Local Public Library
Finding Medical Information for Public Library Patrons: “I trust my doctor, but I’m seeing my medical librarian for a second opinion.” Quote posted at entrance of Plane Tree Public Library, San Jose, CA
Why is it important for the public library to provide medical information? • People are being asked to make decisions about their healthcare • People may be afraid or forget to ask their doctor • Access to hospital libraries may be limited • “Googling” is a popular way to find health information and librarians are needed to help filter the amount and quality of information found on the Internet
Opportunity for All: How the American Public Benefits from Internet Access at U.S. Libraries • 1/3 of Americans (roughly 77 million people) age 14 or older used a public library computer or wireless network to access the internet in the passed year • 37% focused on health issues (48 million) • 82% of these logged on to learn about a disease, illness, or medical condition • 1/3 of these sought out doctors or health care providers • Of these, about half followed up by making appointments for care March 2010
Challenges in finding medical information • Medical terminology • Knowing how much information to ask • Not being familiar with the resources • Knowing the “health literacy” level of the person asking
Health Literacy: Is the ability to read, understand, and act on health care information. Source: Center for Healthcare Strategies
Food Labels: Is this safe for someone on a salt-free diet? Note: We rarely say “Pass the sodium”
Consent: Is this the way we talk? “I have discussed the likelihood of major risks or complications of this procedure (if applicable) but not limited to infection…”
Who has Health Literacy Problems? • People of all backgrounds, especially those with chronic health problems • Most adults in U.S. read at 6th grade level, 45% below 6th grade level • 46% of Americans cannot read a Rx label (Annals of Internal Medicine 2006) • Older people, immigrants and those with low incomes are disproportionately more likely to have trouble reading and understanding health-related information
Win/Win: • Providing healthcare information benefits the patron because they get the information they need to improve health outcomes • The Library wins by gaining a new customer who will come back for other services and programs
FrequentlyAsked Questions • Information about diseases or conditions • Latest treatment for… • Descriptions of particular procedures • Drug information • Herbal information • The best doctor or hospital
What Do Patrons Mean???? What the patron said: What the patron meant: • Sick lick vomiting Cyclic vomiting • Rose acre Rosacea • Lack toast intolerant Lactose intolerance • Showgrin’s syndrome Sjogren’s syndrome
TheReference Interview…in the context of health information • Be empathetic • Be an active listener • Use open-ended questions • Respect privacy/confidentiality • Be prepared for emotions • Be aware of body language • Do not be afraid to refer the patron back to his or her health care provider
Reference Interview “DO’s”: • Do provide a safe, private place for your reference interviews • Do use terms like “You must be worried,” or “This must be difficult” • Do provide a range of materials • Do explain why a resource is best suited to answer their question • Do know the limits of your collection
Reference Interview “Don’ts: • Do not judge, give an opinion, or tell the person “it’s probably nothing” • Do not speak from personal experience or knowledge • Do not pretend to have medical knowledge or guess at a condition • Do not give medical advice
Resources to help clarify patron questions: • Dictionaries Mosby’s Medical, Nursing & Allied Health Dictionary American Heritage Stedman’s Medical Dictionary Taber’s Cyclopedic Dictionary • General Medical Texts Merck Manual of Medical Information Mayo Clinic Family Health Book American Medical Association Family Medical Guide • Drug Resources Physician’s Desk Reference (PDR) Consumer Drug Reference (Consumer Reports)
Online Resources • Library Databases provided by Pioneer: EbscoHost -- AltHealthWatch HealthSource--Consumer Ed. HealthSource--Nursing/Acad Ed. Medline (PubMed) *Your library may subscribe to additional resources • Health Databases • Internet Resources • Google or other search engine
Guide to Healthy Web Surfing • What should you look for: • Consider the source—know who is responsible for the content. • Focus on quality—is the information reviewed before it is posted? • Be a cyberskeptic—get a second opinion, check more than one • site. • Look for the evidence—rely on medical research, not opinion. • Check for currency—check dates on documents. • Beware of bias. • Protect your privacy—is your information kept confidential? • Consult with your health professional
Useful Web Sites to provide Good Health Information @ Your Library: • MedlinePlus http://medlineplus.gov/ • UtaHealthNet http://utahealthnet.utah.edu • NIH Senior Health http://nihseniorhealth.gov/ • Familydoctor.org http://familydoctor.org/online/famdocen/home.html • KidsHealth http://kidshealth.org/ • National Cancer Institute http://www.cancer.gov/
More…Useful Resources to support Good Health Information @ Your Library: • CAPHIS, Consumer and Patient Health Information Section (Medical Library Association) • http://caphis.mlanet.org/ • Ask-A-Medical Librarian-Spencer S. Eccles Health • Sciences Library, University of Utah • http://library.med.utah.edu/or/asklibrarian.php
Non-English Language Resources • MedlinePlus en Espanol • Healthfinder Espanol • CDC en Espanol • Familydoctor.org en Espanol • Consumer Health Information in Many Languages • http://ethnomed.org/
Resources for health literacy: • MedlinePlus – Easy to Read Easy to read resources and a how to write easy to read page • Ask Me 3, Partnership for Clear Health Communication 1. What is my main problem? 2. What do I need to do? 3. Why is it important for me to do this? • Health Information Literacy (Medspeak) Resources from the Medical Library Association
Want to learn more? Visit: • Good Health Information @ Your Library Tutorials • Information for Librarians and Trainers(tutorials) • Resources for Health Consumers from the Medical Library Association • Consumer and Patient Health Information SectionMedical Library Association • Health Literacy Information & Tutorials
Now you’re part of the health care team… Others on your team: Susan Hamada, Salt Lake County Library System shamada@slcolibrary.org 801-944-7513 Sally Patrick, Spencer S. Eccles Health Sciences Library, Univ of Utah sally.patrick@utah.edu 801-581-6979 Kathy Pudlock, Weber County Libr@ry kpudlock@weberpl.lib.ut.us 801-337-2690