Effects of health literacy on health status and health service utilization amongst the elderly

Cho, Young I.; Lee, Shoou Yih D.; Arozullah, Ahsan M.; Crittenden, Kathleen S.

doi:10.1016/j.socscimed.2008.01.003

Cited by 419 publications

(355 citation statements)

References 35 publications

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“…Previous studies [12][13][14][15][16] examining associations between healthcare utilization, expenditures and health literacy were limited to individual-level interpretations given their measurement approaches. [12][13][14][15][16] To address this shortcoming, we conducted the current study, which is multilevel (eg, a Predicted expenditure and number of visits are adjusted for person's type of insurance coverage and region.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14][15][16] To address this shortcoming, we conducted the current study, which is multilevel (eg, a Predicted expenditure and number of visits are adjusted for person's type of insurance coverage and region. Visits are modeled with non-negative binomial regression.…”

Section: Discussionmentioning

confidence: 99%

“…11 The relationship between health literacy, healthcare utilization and associated expenditures is of particular importance for the US economy. Studies [12][13][14][15][16] on this issue have typically used validated scales to directly measure health literacy for individuals rather than assess community-level indicators of health literacy. Examples of direct methods include the Rapid Estimate of Adults' Literacy, the Test of Functional Health Literacy in Adults, and the Newest Vital Sign.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Health Literacy Impact on National Healthcare Utilization and Expenditure

Rasu

Bawa

Suminski

et al. 2015

Int J Health Policy Manag

181

137

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Background: Health literacy presents an enormous challenge in the delivery of effective healthcare and quality outcomes. We evaluated the impact of low health literacy (LHL) on healthcare utilization and healthcare expenditure. Methods: Database analysis used Medical Expenditure Panel Survey (MEPS) from 2005-2008 which provides nationally representative estimates of healthcare utilization and expenditure. Health literacy scores (HLSs) were calculated based on a validated, predictive model and were scored according to the National Assessment of Adult Literacy (NAAL). HLS ranged from 0-500. Health literacy level (HLL) and categorized in 2 groups: Below basic or basic (HLS <226) and above basic (HLS ≥226). Healthcare utilization expressed as a physician, nonphysician, or emergency room (ER) visits and healthcare spending. Expenditures were adjusted to 2010 rates using the Consumer Price Index (CPI). A P value of 0.05 or less was the criterion for statistical significance in all analyses. Multivariate regression models assessed the impact of the predicted HLLs on outpatient healthcare utilization and expenditures. All analyses were performed with SAS and STATA ® 11.0 statistical software. Results: The study evaluated 22 599 samples representing 503 374 648 weighted individuals nationally from [2005][2006][2007][2008]. The cohort had an average age of 49 years and included more females (57%). Caucasian were the predominant racial ethnic group (83%) and 37% of the cohort were from the South region of the United States of America. The proportion of the cohort with basic or below basic health literacy was 22.4%. Annual predicted values of physician visits, nonphysician visits, and ER visits were 6.6, 4.8, and 0.2, respectively, for basic or below basic compared to 4.4, 2.6, and 0.1 for above basic. Predicted values of office and ER visits expenditures were $1284 and $151, respectively, for basic or below basic and $719 and $100 for above basic (P < .05). The extrapolated national estimates show that the annual costs for prescription alone for adults with LHL possibly associated with basic and below basic health literacy could potentially reach about $172 billion. Conclusion: Health literacy is inversely associated with healthcare utilization and expenditure. Individuals with below basic or basic HLL have greater healthcare utilization and expendituresspending more on prescriptions compared to individuals with above basic HLL. Public health strategies promoting appropriate education among individuals with LHL may help to improve health outcomes and reduce unnecessary healthcare visits and costs. Implications for policy makers• Health literacy presents an enormous challenge in the delivery of effective healthcare and quality outcomes. •We found that individuals with below basic or basic compared to above basic health literacy incurred more healthcare visits, have greater total healthcare expenditures. • Adults with basic or below basic health literacy incurred greater costs for prescription ($3362) than adults w...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health Literacy Impact on National Healthcare Utilization and Expenditure

Rasu

Bawa

Suminski

et al. 2015

Int J Health Policy Manag

181

137

View full text Add to dashboard Cite

show abstract

“…High or low literacy levels have different impacts, notably on the individual"s health. There is an increasing scientific evidence that the general health status of the people, whose health literacy is at a low level, is lower [11][12][13][14], their living is less healthy [15,16], they have a lower preventive measures and services take-up [15,17], their capacities to manage chronic diseases and to remember or to understand the information presented by the medical personnel are insufficient [18,19]; such people are more prone to make mistakes when taking their medicines or to adhere to other instructions of the doctors [12,20,21].…”

Section: Health Literacy As a Multidimensional Concept In Health Educmentioning

confidence: 99%

Young adult health literacy on health promotion as social determinant of health: Challenges for health education practice in Lithuania

2018

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Abstract.A synthesis of theory, research, and practice shows that education is linked to better health through individuals" increased health knowledge and healthy behaviour. Health literacy is put forward as the central mediator between education and health. Scientific studies have shown a strong association between the levels of health literacy and health outcomes. The aim of the study is to identify the levels of health literacy on health promotion among Lithuania"s young adults. The anonymous selfreported questionnaire survey was carried out in the period of 2014-2015. The research sample involved 842 young adults aged 18-29. Health literacy was measured using an HLS-EU-Q-47 questionnaire. The research studies suggest that less than half of Lithuanian young adults have sufficient or excellent health literacy on health promotion, which is essential in maintaining good health and the quality of life. These findings are important evidence that health education should become a priority area at all levels of educational process at every stage of the life: from childhood through adulthood.

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“…To make matters worse, this text is written at a level too high for even the general population to understand. The problems associated with patient comprehension of medical instructions is difficult even in developed countries with higher levels of literacy, 13 and are even more compounded when healthcare providers are faced with illiteracy or differences in language. [14][15][16] These obstacles highlight the importance of accurate and effective communication between healthcare providers and patients to ensure comprehension of pharmacotherapy, thereby promoting compliance and ensuring positive patient health outcomes.…”

Section: Introductionmentioning

confidence: 99%

A Case Report on Neonatal Bartter Syndrome and It’s Effective Management-Clinical Pharmacist Perspective

K.Chaitanya¹,

Jahnavi²,

Kiran³

et al. 2015

IJOPP

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Introduction: Diabetes mellitus is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. It can be controlled using oral hypoglycaemic agents and/or insulin and lifestyle modifications. This study examines the role of pictograms in educating the diabetic patients about proper medication use and lifestyle modifications. It is an open label, observational comparative study. Objectives: To educate diabetic patients about proper medication use and lifestyle modifications using pictograms. To identify whether comprehension of pictogram differs based on gender, age group, level of education and compliance to medications in diabetic patients and to develop a leaflet containing pictograms which convey information about lifestyle modifications and medication use in diabetic patients. Method: A prospective-observational comparative study of 6 months duration was undertaken with 100 participants for Phase-1 (Survey; n=100) to select the best understood pictograms from the 24 pictograms selected. This set was carried out for Phase-2 (one-on-one interview; n=100), which had Guessability and Translucency as its components. Guessability study was carried out in 50 diabetic patients and their response to pictograms was recorded in a 3 point Likert scale. Modifications were made to the pictograms based on the difficulties faced by the patients in understanding the pictograms. These modified pictograms were used for Translucency study and result was obtained using 5 point Likert scale. We use student t-test and Chi-Square test using SPSS 19 to analyze the data. Results: The results of this study show that pictograms are generally well understood by the diabetic patients when the intended meaning of the pictograms are explained and are accompanied with text. The statistically significant p values were obtained only with levels of education in both Guessability (0.040) and Translucency (0.050). The overall Guessability (all pictograms included) was 69.6% and the overall Translucency was 90.9%. Conclusion: The result from this study suggests that pictograms play a vital role in educating patients and can be used as an effective counselling aid in a low-literacy group of people. INTRODUCTIONDiabetes mellitus is a chronic disorder that occurs when pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells. Inability to produce insulin or use it effectively leads to hyperglycaemia. Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues. 1 According to recent estimates, approximately 285 million people worldwide (6.6%) had diabetes in 2010 and by ...

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Effects of health literacy on health status and health service utilization amongst the elderly

Cited by 419 publications

References 35 publications

Health Literacy Impact on National Healthcare Utilization and Expenditure

Health Literacy Impact on National Healthcare Utilization and Expenditure

Young adult health literacy on health promotion as social determinant of health: Challenges for health education practice in Lithuania

A Case Report on Neonatal Bartter Syndrome and It’s Effective Management-Clinical Pharmacist Perspective

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