Influencing health equity : role of the effective consumer scale in measuring skills and abilities in a middle income country

Rader, Tamara, Ueffing, Erin, Garcia-Elorrio, Ezequiel, Idzerda, Leanne, Ciapponi, Agustin, Irazola, Vilma, Welch, Vivian, Lyddiatt, Anne, Shea, Beverley, Newman, Stanton, Osborne, Richard and Tugwell, Peter S. 2011, Influencing health equity : role of the effective consumer scale in measuring skills and abilities in a middle income country, Journal of rheumatology, vol. 38, no. 8, pp. 1798-1802, doi: 10.3899/jrheum.110407.

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Title Influencing health equity : role of the effective consumer scale in measuring skills and abilities in a middle income country
Author(s) Rader, Tamara
Ueffing, Erin
Garcia-Elorrio, Ezequiel
Idzerda, Leanne
Ciapponi, Agustin
Irazola, Vilma
Welch, Vivian
Lyddiatt, Anne
Shea, Beverley
Newman, Stanton
Osborne, Richard
Tugwell, Peter S.
Journal name Journal of rheumatology
Volume number 38
Issue number 8
Start page 1798
End page 1802
Total pages 5
Publisher Journal of Rheumatology Publishing Co. Ltd.
Place of publication Toronto, Canada
Publication date 2011-08
ISSN 0315-162X
Keyword(s) Health literacy
Socioeconomic factors
Outcome measures
Health equity
Summary The 2008 World Health Report emphasizes the need for patient-centered primary care service delivery models in which patients are equal partners in the planning and management of their health. It is argued that this involvement will lead to improved management of disease, improved health outcomes and patient satisfaction, better informed decision-making, increased compliance with healthcare decisions, and better resource utilization. This article investigates the domains captured by the Effective Consumer Scale (EC-17) in relation to vulnerable population groups that experience health inequity. Particular focus is paid to the domain of health literacy as an area fundamental to patients’ involvement in managing their condition and negotiating the healthcare system. In examining the possible influence of Outcome Measures in Rheumatology Clinical Trials (OMERACT) on health equity, we used the recent translation and validation of the EC-17 scale into Spanish and tested Argentina as an example. Future plans to use the EC-17 with vulnerable groups include formal collaboration and needs assessment with the community to tailor an intervention to meet its needs in a culturally relevant manner. Some systematic reviews have questioned whether interventions to improve effective consumer skills are appropriate in vulnerable populations. We propose that these populations may have the most to gain from such interventions since they might be expected to have relatively lower skills and health literacy than other groups.
Language eng
DOI 10.3899/jrheum.110407
Field of Research 111717 Primary Health Care
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Grant ID NHMRC 400391
Copyright notice ©2011, The Journal of Rheumatology
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