Navegando por Palavras-chave "health literacy"
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- ItemSomente MetadadadosGoogling caesarean section: a survey on the quality of the information available on the Internet(Wiley-Blackwell, 2015-04-01) Fioretti, B. T. S. [UNIFESP]; Reiter, M. [UNIFESP]; Betran, A. P.; Torloni, M. R. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); WHOObjectiveTo examine the quality and completeness of information on caesarean section in web pages used by laypersons in Brazil, a country with very high rates of caesarean delivery.DesignCross-sectional study.SettingBrazil.SampleA total of 176 Internet websites.MethodsThe term caesarean delivery' and 25 synonyms were entered into the most popular search engines in Brazil. the first three pages of hits were downloaded and assessed by two independent investigators using the DISCERN instrument and a content checklist.Main outcome measuresQuality and completeness of information on caesarean section.ResultsA total of 3900 web pages were retrieved and 176 fulfilled the selection criteria. the overall average DISCERN score was 43.6 (8.9 SD), of a maximum score of 75; 30% of the pages were of poor or very poor quality and 47% were of moderate quality. Most pages scored low, especially in questions related to reliability of the information. the most frequently covered topics were: indications for caesarean section (80% of websites), which did not reflect clinical practice; short-term maternal risks (80%); and potential benefits of caesarean section (56%), including maternal and doctor convenience. Less than half of the websites mentioned perinatal risks and less than one-third mentioned long-term maternal risks associated with caesarean section, such as uterine rupture (17%) or placenta praevia/accreta (12%) in future pregnancies.ConclusionsThe quality and completeness of web-based resources in Portuguese about caesarean section were poor to moderate. Pending improvement of these resources, obstetricians should warn pregnant women about these facts and encourage them to discuss what they have read on the Internet about caesarean section.Tweetable abstractThe quality and completeness of information about caesareans is poor in 176 websites used by Brazilians.
- ItemAcesso aberto (Open Access)Letramento em saúde: importância da avaliação em nefrologia(Sociedade Brasileira de Nefrologia, 2012-09-01) Santos, Luanda T. M.; Mansur, Henrique Novais; Paiva, Tatiane F. P. De Souza; Colugnati, Fernando Antonio Basile [UNIFESP]; Bastos, Marcus Gomes; UFJF; UCB; Universidade Federal de São Paulo (UNIFESP); UFJF Núcleo Interdisciplinar de Estudo, Pesquisa e Tratamento em Nefrologia; Fundação IMEPEN; UFJF Faculdade de Medicina Departamento de Clínica Médica; UFJF Programa de Saúde BrasileiraHealth literacy (HL) or basic reading and numeracy that allow an individual to function in the health care environment, is a relatively new topic, yet has increasingly been gaining interest over the past few years both in the research and policy agendas, particularly in the develop countries. Where studied, inadequate HL has been associated with poor health care quality and more cost. Yet many physicians do not recognize the problem or is not skilled enough to approach the subject with their patients. In this review, important aspects of HL, such as its epidemiology, associations with poor outcomes, assessment, determinants and interventions, particularly in nephrology, are discussed. Because it is common and associated to adverse clinical outcomes, inadequate HL should be incorporated into the list of assessments of patients with renal disease.
- ItemAcesso aberto (Open Access)Qualidade da informação sobre cesariana disponível na internet(Universidade Federal de São Paulo (UNIFESP), 2014-08-31) Fioretti, Beatriz Trentini dos Santos [UNIFESP]; Torloni, Maria Regina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: Examine the quality and completeness of information on caesarean section (CS) in Webpages used by laypersons in Portuguese. Methods: This was across-sectional analytical study. The term ?caesarean delivery? and 25 synonyms were entered into the 5 most popular search engines in Brazil (google.com.br; bing.br.com; google.com; br.ask.com e br.search.yahoo.com) using the browser Google Chrome. The first 3 pages of hits were downloaded and assessed for possible inclusion. Freely available Web pages written in Portuguese in a language accessible for lay persons and which presented at least two paragraphs with information on CS were analyzed by two independent investigators using the Discern instrument to assess quality and a content checklist to assess completeness of information on CS. Results: 3900 Webpages were retrieved and 176 fulfilled the selection criteria. The overall average Discern score was 43.6 (+ 8.9 SD), of a maximum score of 75. Overall, 30% of the pages were of very poor or poor quality (total score < 39) and 47% were of regular quality (total score 39-50). Most pages scored low especially in questions related to reliability of the information presented. The most frequently covered topics were indications for CS (80% of Páginas Web), which did not reflect clinical practice, short-term maternal risks (80%) and potential benefits of CS (56%), including maternal and doctor convenience. Less than half of the Páginas Web mentioned perinatal risks and less than one third mentioned longterm maternal risks associated with CS such as uterine rupture (17%) or placenta praevia/accreta (12%) in future pregnancies. Conclusions: The quality and completeness of Web-based resources in Portuguese about CS were poor to regular. Pending improvement of these resources, Brazilian obstetricians should warn their patients about these facts and encourage them to discuss what they have read on the net about CS.