Community perceptions and utilization of a consumer health center     

Katie A. Ports  Antoinette Ayers  Wayne Crocker  Alton Hart  Maghboeba Mosavel  Carlin Rafie 《Journal of the Medical Library Association》2015,103(1):35-39

The purpose of this study was to understand factors that may affect the usage of a consumer health center located in a public library. More specifically, the authors wanted to know what health resources are of interest to the community, what patrons'' perceptions of their experience at the center are, and finally, how staff can increase utilization of the center. In general, perceptions of the center were positive. The findings support that participants appreciate efforts to provide health information in the public library setting and that utilization could be improved through marketing and outreach.Problems with health literacy—one''s ability to obtain, process, and understand basic information and services needed to make appropriate health decisions 1, 2—significantly limit effective dissemination and understanding of relevant health information, especially among racial and ethnic minorities where health literacy challenges are pervasive 3–5. People with limited health literacy skills have higher medical costs and use an inefficient mix of medical services 3, 6–13. This compromises their health and is a major source of economic inefficiency in the US health care system. Efforts to address low health literacy may result in reductions of health inequities, decreased medical costs, and enhanced quality of life 14. However, efforts to promote health literacy that seek to empower individuals to understand health information and act in their own interest remain an underexplored pathway to improved health outcomes 9.The National Network of Libraries of Medicine (NN/LM) encourages libraries to reach out to low literacy groups in their surrounding communities to address literacy challenges 15–17. These actions have resulted in development of consumer health libraries, centers where patrons can get accurate and timely health information. Preliminary investigations of consumer health libraries have reinforced the value of these services 18, 19, but there is little information regarding the provision of similar services in other public settings.The Healthy Living and Learning Center (HLLC), located in a public library in Petersburg, Virginia, was established in 2012 to provide one-on-one assistance in accessing health information and community resources. According to 2010–2013 census data, 25% of Petersburg residents are below the poverty line 20. Localities surrounding the HLLC experience some of the most unfavorable health outcomes in Virginia 21. In addition, 16%–24% of citizens in the surrounding localities are illiterate 22.The public library setting provides an appropriate context to initiate consumer health centers outside of medical settings. Librarians are already being asked to meet consumer demands for health information 15–17, and the provision of accurate health information is a natural extension of the services that public libraries provide. The American Library Association reports that 62% of libraries report that they are the only source of free public access to computers and the Internet in their communities 23. According to a recent study from Pew, 35% of Americans 16 and older say they have used free Internet access points, 47% of whom have used these services to get health information 24. For a number of minorities, the public library is the only place they have Internet access 25. Thus, libraries not only remain a critical resource among the public, but may also have unique access to populations who are more vulnerable to health inequities.  相似文献