Abstract：
OBJECTIVE: Low health literacy is associated with worse health outcomes, including for cardiovascular disease (CVD). However, general practitioners (GPs) have limited support to identify and address patient health literacy needs in CVD prevention consultations. This study explored GPs\' experiences of patient health literacy needs during CVD risk assessment and management consultations.
METHODS: Semi-structured interviews with 18 GPs in Tasmania, Australia in 2021. A Framework Analysis approach was used to code transcripts to a thematic framework.
RESULTS: GPs perceptions on patient health literacy informed three themes: 1. Methods of estimating health literacy; 2. GPs\' perceptions about the impact of health literacy on CVD prevention including risk factor knowledge and behaviours; and 3. Strategies for communicating with patients experiencing health literacy challenges. The findings show that while no formal tools were used to assess health literacy in this sample, perceived health literacy can change GPs\' communication and prevention strategies.
CONCLUSIONS: The findings raise concerns about the equity of choices made available to patients, based on subjective perceptions of their health literacy level.
CONCLUSIONS: GPs could be better supported to assess and address patient health literacy needs in CVD prevention consultations.
METHODS: Semi-structured interviews with 18 GPs in Tasmania, Australia in 2021. A Framework Analysis approach was used to code transcripts to a thematic framework.
RESULTS: GPs perceptions on patient health literacy informed three themes: 1. Methods of estimating health literacy; 2. GPs\' perceptions about the impact of health literacy on CVD prevention including risk factor knowledge and behaviours; and 3. Strategies for communicating with patients experiencing health literacy challenges. The findings show that while no formal tools were used to assess health literacy in this sample, perceived health literacy can change GPs\' communication and prevention strategies.
CONCLUSIONS: The findings raise concerns about the equity of choices made available to patients, based on subjective perceptions of their health literacy level.
CONCLUSIONS: GPs could be better supported to assess and address patient health literacy needs in CVD prevention consultations.
摘要：
目标：健康素养低与健康状况恶化有关，包括心血管疾病（CVD）。然而,在心血管疾病预防咨询中,全科医生(GP)在确定和解决患者健康素养需求方面的支持有限.本研究探讨了全科医生在CVD风险评估和管理咨询过程中对患者健康素养需求的体验。
方法：塔斯马尼亚18名全科医生的半结构化访谈，2021年的澳大利亚。使用框架分析方法将成绩单编码为主题框架。
结果：全科医生对患者健康素养的看法揭示了三个主题：1.评估健康素养的方法;2.全科医生对健康素养对CVD预防的影响的看法，包括危险因素知识和行为；和3。与经历健康素养挑战的患者沟通的策略。研究结果表明，虽然在这个样本中没有使用正式的工具来评估健康素养，感知健康素养可以改变全科医生的沟通和预防策略。
结论：这些发现引起了人们对患者选择公平性的担忧，基于对其健康素养水平的主观认知。
结论：在心血管疾病预防咨询中，可以更好地支持全科医生评估和满足患者健康素养需求。
方法：塔斯马尼亚18名全科医生的半结构化访谈，2021年的澳大利亚。使用框架分析方法将成绩单编码为主题框架。
结果：全科医生对患者健康素养的看法揭示了三个主题：1.评估健康素养的方法;2.全科医生对健康素养对CVD预防的影响的看法，包括危险因素知识和行为；和3。与经历健康素养挑战的患者沟通的策略。研究结果表明，虽然在这个样本中没有使用正式的工具来评估健康素养，感知健康素养可以改变全科医生的沟通和预防策略。
结论：这些发现引起了人们对患者选择公平性的担忧，基于对其健康素养水平的主观认知。
结论：在心血管疾病预防咨询中，可以更好地支持全科医生评估和满足患者健康素养需求。
