Examining the impacts of health literacy on healthcare costs. An evidence synthesis

Palumbo, Rocco

doi:10.1177/0951484817733366

Cited by 93 publications

(91 citation statements)

References 43 publications

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“…The impact of our results can be summarized in two points. First, Moldavan immigrants in Italy have a good health literacy level overall (45); and individuals' health literacy was con rmed as a determinant of their attitude to smoking and to the use of some health care services (37). Bearing these ndings in mind, adequate programs to improve health literacy in the general population -with a view to promoting healthy lifestyles -would be useful but need not target Moldovan immigrants speci cally (46)(47).…”

Section: Discussionmentioning

confidence: 99%

Health status of female Moldovan immigrants to Italy by health literacy level and age group

Vianello

Zaccagnini

Pinato

et al. 2020

Preprint

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Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level.Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables ( lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls.Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.

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Section: Discussionmentioning

confidence: 99%

Health status of female Moldovan immigrants to Italy by health literacy level and age group

Vianello

Zaccagnini

Pinato

et al. 2020

Preprint

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show abstract

“…The impact of our results can be summarized in two points. First, Moldavan immigrants in Italy have a good health literacy level overall, comparable with that of Italy's autochthonous population (41); and individuals' health literacy was confirmed as a determinant of their attitude to smoking and to the use of some health care services (34). Bearing these findings in mind, adequate programs to improve health literacy in the general population -with a view to promoting healthy lifestyles -would be useful but need not target Moldovan immigrants specifically (42)(43)(44).…”

Section: Discussionmentioning

confidence: 99%

Health status of female Moldovan immigrants to Italy by health literacy level and age group: a descriptive study

Buja¹,

Vianello

Zaccagnini

et al. 2020

Preprint

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Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods: We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, self-reported health status (symptoms and diseases), access to health services, and health literacy. Then, using descriptive statistics, we compared our data with findings for a sample of Italian women of the same age living in the north-east of the country. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to healthcare services: women with a higher health literacy tended to use scheduled health services and screening programs, while those with a lower health literacy relied more on emergency health services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of health care services, as previously seen for the autochthonous population.

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“…Firstly, to be sustainable from a social perspective, the health care system should allow an equal and non-discriminatory access to care for the whole population, overcoming inequalities produced by individual socio-economic conditions [69,70]. Equal access requires the ability of health care providers to identify and tackle disparities in the access to health promotion and health prevention services [71]. Moreover, fair and non-discriminatory access to care relies on the health care organizations' capacity to avoid the misuse of available health assets and resources, prioritizing health services targeted to people with higher needs and enhancing the responsiveness of health services providers toward the evolving expectations of the community [72].…”

Section: The Rooted Shade: Social Sustainabilitymentioning

confidence: 99%

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

et al. 2018

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Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

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Examining the impacts of health literacy on healthcare costs. An evidence synthesis

Cited by 93 publications

References 43 publications

Health status of female Moldovan immigrants to Italy by health literacy level and age group

Health status of female Moldovan immigrants to Italy by health literacy level and age group

Health status of female Moldovan immigrants to Italy by health literacy level and age group: a descriptive study

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

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