Association Between Health Literacy and Enhanced Recovery After Surgery Protocol Adherence and Postoperative Outcomes Among Patients Undergoing Colorectal Cancer Surgery: A Prospective Cohort Study

Qin, Peipei; Jin, Juying; Min, Su; Wang, Wenjian; Shen, Yiwei

doi:10.1213/ane.0000000000005829

Cited by 10 publications

(6 citation statements)

References 39 publications

(69 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 Furthermore, among 240 propensity-matched pairs of colorectal patients with low and adequate health literacy (based on BHLS scores), respectively, Qin et al demonstrated adequate health literacy to be significantly associated with higher adherence to multiple ERP components including preoperative optimization (90.8% vs. 71.7%; adjusted p < 0.001), early feeding (59.2% vs. 31.3%; adjusted p < 0.001), and early mobilization (56.7% vs. 30.4%; adjusted p < 0.001). 76 Additionally, in keeping with findings from Thiess et al, 2 low health literacy was associated with significantly higher incidence of postoperative complications (32.1% vs. 20.8%, p < 0 0.01). 76…”

Section: Future Worksupporting

confidence: 77%

“…76 Additionally, in keeping with findings from Thiess et al, 2 low health literacy was associated with significantly higher incidence of postoperative complications (32.1% vs. 20.8%, p < 0 0.01). 76…”

Section: Future Worksupporting

confidence: 77%

“…74 In addition to the readability of these materials not aligning with the recommendations of the AMA 62 and NIH, 63 Jacobson and Suwanabol highlight the disparity caused by language barriers, particularly for the one-third of Americans who do not speak English as their home language, 75 and implores addressing these through translating standard English versions with the goal of improving access to and understanding of patient education material. 73 Further opportunities also remain in understanding the associations of low health literacy with adherence to surgical 76 Additionally, in keeping with findings from Thiess et al, 2 low health literacy was associated with significantly higher incidence of postoperative complications (32.1% vs. 20.8%, p < 0 0.01). 76 As we move into an era that is increasingly impacted by technology, future research should also assess the credibility, acceptability, and feasibility of using various technologies, including artificial intelligence programs, to address health literacy in surgical populations.…”

Section: Future Workmentioning

confidence: 56%

“…73 Further opportunities also remain in understanding the associations of low health literacy with adherence to surgical 76 Additionally, in keeping with findings from Thiess et al, 2 low health literacy was associated with significantly higher incidence of postoperative complications (32.1% vs. 20.8%, p < 0 0.01). 76 As we move into an era that is increasingly impacted by technology, future research should also assess the credibility, acceptability, and feasibility of using various technologies, including artificial intelligence programs, to address health literacy in surgical populations. Overall, these efforts will help create a health care environment which improves patient self-efficacy, motivation, and navigation skills essential for improved surgical outcomes.…”

Section: Future Workmentioning

confidence: 56%

See 3 more Smart Citations

Addressing Low Health Literacy in Surgical Populations

English,

Jones,

Chu

2024

Clin Colon Rectal Surg

View full text Add to dashboard Cite

Health literacy is defined as the ability to obtain, engage, understand, and act upon health information to make decisions about health care. Health literacy is a key determinant of health outcomes and disparities including those in surgery. Over one-third of surgical patients suffer from low health literacy, with disproportionately higher rates among older, rural, and black patients. Low health literacy has been associated with poor adherence to preoperative and discharge instructions, longer lengths-of-stay, higher readmission rates, and higher health care costs. However, health literacy is modifiable, and therefore it is uniquely positioned for meaningful interventions at the patient, provider, and system level. These interventions include using more visual aids with patients and families (patient level), communicating in more understandable ways (provider level), and improving the organizational health literacy of hospitals (system level). Through high-quality research and multilevel interventions, significant opportunities exist to address low health literacy and improve outcomes, eliminate disparities, and reduce costs for this disparity population.

show abstract

Section: Future Worksupporting

confidence: 77%

Section: Future Worksupporting

confidence: 77%

Section: Future Workmentioning

confidence: 56%

Section: Future Workmentioning

confidence: 56%

See 2 more Smart Citations

Addressing Low Health Literacy in Surgical Populations

English,

Jones,

Chu

2024

Clin Colon Rectal Surg

View full text Add to dashboard Cite

show abstract

“…China’s research shows that the health expenditure in eastern and urban areas is higher, which may be because the medical and health resources and professionals in eastern and urban areas are more abundant than those in central areas and rural areas, providing more convenient and comprehensive health services; thus, the medical costs are higher [ 10 ]. The improvement of education level will improve people’s health awareness and make them more willing to pay more for health expenditure [ 17 ], which is consistent with the reason that people with high health literacy pay more attention to health promotion [ 18 ]. Self-medication belongs to the scope of public behavioral decision making, and personality traits can also influence public behavioral decision making [ 19 ].…”

Section: Introductionmentioning

confidence: 77%

Self-Medication Behaviors of Chinese Residents and Consideration Related to Drug Prices and Medical Insurance Reimbursement When Self-Medicating: A Cross-Sectional Study

Zhang

Yan

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Self-medication has become a common phenomenon. Economic factors are important factors that affect the self-medication of residents. This study aimed to investigate the current status of self-medication behaviors in China and explored the related factors affecting considerations associated with medical insurance reimbursement or drug price in self-medication. Methods: A national cross-sectional investigation was conducted among Chinese people over 18 years old under a multi-stage sampling method through a questionnaire, which includes demographic sociological characteristics, self-medication behaviors and scales. The Chi-square test was used to analyze whether the respondents consider medical insurance reimbursement or drug price as an important factor when purchasing over-the-counter (OTC) drugs. Logistic regression was used to examine the associated factors of considering medical insurance reimbursement or drug price. Results: In total, 9256 respondents were included in this study; 37.52% of the respondents regarded drug prices as an important consideration, and 28.53% of the respondents attached great importance to medical insurance reimbursement. Elderly respondents who lived in the central region, had medical insurance, and had lower levels of health literacy were more likely to consider the medical insurance reimbursement, while respondents with high monthly family income as well as students were less likely to consider the same issue (p < 0.05). Respondents settled in the central and western regions, students, those without fixed occupations, those who suffered from chronic diseases, or those with lower health literacy were more likely to consider drug prices, while the respondents with bachelor degrees, urban population and high per capita monthly income were less likely to consider the drug prices (p < 0.05). Conclusion: Self-medication behaviors with OTC drugs were prevalent in China, and consideration factors of medical insurance reimbursement or drug prices were related to socio-demographic characteristics and health literacy. There is a need to take measures to reduce the economic burden of self-medication, improve the health literacy of residents and strengthen public health education.

show abstract