Health literacy and age-related health-care utilisation: a multi-dimensional approach

Gerich, Joachim; Moosburger, Robert; Heigl, Christoph

doi:10.1017/s0144686x20001609

Cited by 7 publications

(7 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A two-part hurdle procedure was used in this study to ascertain the major parameters influencing WTP for treatment of hopeless teeth [ 15 ]. This approach is capable of dealing with extremely skewed count data with an excess of zeroes [ 16 ]. The first section employed logistic regression to estimate the chance of WTP for the treatment of a hopeless tooth.…”

Section: Methodsmentioning

confidence: 99%

Preserving natural teeth versus extracting them: a willingness to pay analysis

et al. 2022

View full text Add to dashboard Cite

Background Maximum willingness to pay (WTP) for a health benefit is related to perceived value. The goal of this study was to find out how much Iranian healthy people would be willing to pay to keep their natural teeth instead of having them pulled. This was done separately for the anterior and posterior teeth. Methods The highest value was posed as an open-ended question in this cross-sectional analysis conducted in 2021. Four distinct scenarios for treating a tooth with a poor prognosis for natural tooth preservation versus extraction were offered. WTP for the preferred treatment option was asked for painful and painless anterior and posterior teeth separately. A two-stage hurdle approach was employed to determine factors influencing the WTP for a hopeless case. The level of significance was fixed at 0.05. Results Out of 795 individuals, 355 (44.7%) were male and 209 (26.3%) had poor self-stated dental health. Over 65% of those interviewed said they wanted to keep their teeth. The mean WTP was highest for dental preservation up to 94 USD and the lowest was for extraction without replacement 19 USD. The WTP for anterior tooth therapy was greater than the WTP for posterior dental care, regardless of treatment type or tooth discomfort. Participants with higher education, jobs, income-to-expenditure matching, older age, preference for the treatment in a private office, and female gender (except for WTP for a painful posterior tooth) were more likely to have a WTP of at least 1 USD. Conclusion The average WTP for treatment of teeth with a poor prognosis was lower than the average fee charged in dental facilities, and more than 65% of participants preferred to keep their teeth. Regardless of the treatment option or whether it was painful or not, WTP for anterior teeth treatment was higher than for posterior teeth. Generally, we found that sociodemographic factors influenced WTP decision-making the most. This study has practical implications for public oral health policymakers and insurance organizations.

show abstract

Section: Methodsmentioning

confidence: 99%

Preserving natural teeth versus extracting them: a willingness to pay analysis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In contrast, Gerich et al ( 2022 ) indicated that, in the presence of low health-related knowledge, high HL can lead to more frequent doctor visits than low HL. They also referred to studies using registered data, which showed different results for different types of health services.…”

mentioning

confidence: 94%

“…Recent publications have listed numerous studies indicating more efficient use of health care services among people with higher HL. Gerich et al ( 2022 ) reported on research that showed lower medication costs, number of doctor visits, and hospitalization for people with higher HL. Moreover, Berens et al ( 2018 ) cited studies showing higher health service use among individuals with lower HL.…”

mentioning

confidence: 99%

Health Literacy and Health Care Utilization in Austria

Kvas,

Kvas

2023

HLRP: Health Literacy Research and Practice

View full text Add to dashboard Cite

Background: Efficient use of health care is crucial for health care systems; the literature reveals that health literacy (HL) plays an important role in health services utilization. Objective: This study aimed to analyze the relationship between HL and health care utilization in Austria. Methods: Registered data of 1,010 persons in the general population concerning costs of doctor visits, medication costs, and number, days, and costs of hospitalization were analyzed using a cross-sectional design for the observation period 2017 to 2019. HL was measured as general, digital, and navigational HL using the Austrian part of the European Health Literacy Survey between March 2020 and May 2020. Multivariable two-part hurdle regressions with generalized linear models, considering sociodemographic variables and chronic illnesses, were conducted to investigate the relationship between HL and health care utilization. Key Results: Navigational HL had a significant negative effect on the odds of causing costs at general practitioners, not adjusting (b = −0.02) and adjusting (b = −0.01) for sociodemographic variables and chronic illnesses. The effect was small, and no significant effect on any other type of analyzed health care was found. Conclusions: Further research on specific populations (e.g., persons with chronic diseases such as diabetes), rather than the general population, may reveal relevant effects of HL on health care utilization measured by registered data in Austria. [ HLRP: Health Literacy Research and Practice . 2023;7(4):e197–e206. ]

show abstract

“…Users of primary healthcare services are predominantly of older age ( Gerich et al, 2020 ; Rennemark et al, 2009 ). As older people more often need regular medical treatment due to aging-associated chronic conditions such as hypertension, chronic bronchitis/COPD, or coronary heart disease ( OECD, 2019 ), they are likely more affected by reduced healthcare access.…”

Section: Introductionmentioning

confidence: 99%

The Role of Country-Level Availability and Generosity of Healthcare Services, and Old-Age Ageism for Missed Healthcare during the COVID-19 Pandemic Control Measures in Europe

Settels

Leist

2022

J Aging Health

View full text Add to dashboard Cite

Objectives: The effects of the COVID-19 outbreak on non-COVID-19-related healthcare need further investigation. Methods: Using the Survey of Health, Ageing and Retirement in Europe’s COVID-19 module (2020) ( N = 57,025), country-level data from the European Social Survey (2008) and OECD (2020), and logistic regressions, this study examines predictors of older Europeans’ forgone, postponed, and denied healthcare during the pandemic. Results: Country-level availability of physicians, healthcare systems’ generosity, and beliefs that older persons burden healthcare systems all increased forgone healthcare. Healthcare system generosity increased postponed and denied healthcare. Greater medical resources decreased denied healthcare. Furthermore, missed healthcare varied by individual-level gender (higher rates among women), age, education, and health. Discussion: This study reveals predictors of missed healthcare during the pandemic. To decrease unintended health consequences of a pandemic, both individual-level determinants, such as gender and health, and contextual-level determinants, such as healthcare systems’ characteristics, should be considered in research and practice.

show abstract

Health literacy and age-related health-care utilisation: a multi-dimensional approach

Cited by 7 publications

References 57 publications

Preserving natural teeth versus extracting them: a willingness to pay analysis

Preserving natural teeth versus extracting them: a willingness to pay analysis

Health Literacy and Health Care Utilization in Austria

The Role of Country-Level Availability and Generosity of Healthcare Services, and Old-Age Ageism for Missed Healthcare during the COVID-19 Pandemic Control Measures in Europe

Contact Info

Product

Resources

About