Impact of Health Literacy on Health Outcomes in Ambulatory Care Patients: A Systematic Review

Keller, Darcie L.; Wright, Julie; Pace, Heather A.

doi:10.1345/aph.1l093

Cited by 97 publications

(66 citation statements)

References 22 publications

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“…Second, the REALM is a test of word recognition and pronunciation (Davis et al, 1993;Keller et al, 2008) it does not assess domains of health literacy that may affect patients' medication management, such as numeracy or the ability to obtain, process, and act on health information. It is possible that, if health literacy were assessed using other instruments, such as the Short Test of Functional Health Literacy in Adults or Newest Vital Sign (Nurss, Parker, Williams, & Baker, 1998;Weiss, Mays, & Martz, 2005) results may differ.…”

Section: Discussionmentioning

confidence: 99%

“…Low health literacy is associated with lower health-related knowledge, suboptimal use of preventive health services, and poorer chronic illness control (Berkman, Sheridan, Donahue, Halpern, & Crotty, 2011;Herndon, Chaney, & Carden, 2011), but the effect of low health literacy on certain clinical outcomes remains incompletely elucidated (Berkman et al, 2011;Easton, Entwistle, & Williams, 2010;Keller, Wright, & Pace, 2008). Better understanding of the relation between health literacy and clinical outcomes is fundamental to the design of initiatives aimed at improving health care delivery to patients with low health literacy.…”

Section: H J Mosher Et Almentioning

confidence: 99%

See 1 more Smart Citation

Association of Health Literacy With Medication Knowledge, Adherence, and Adverse Drug Events Among Elderly Veterans

Mosher

Lund

Kripalani

et al. 2012

Journal of Health Communication

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Section: Discussionmentioning

confidence: 99%

Section: H J Mosher Et Almentioning

confidence: 99%

Association of Health Literacy With Medication Knowledge, Adherence, and Adverse Drug Events Among Elderly Veterans

Mosher

Lund

Kripalani

et al. 2012

Journal of Health Communication

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“…Medication literacy, education, and active patient involvement in medication monitoring as a means to improve patient outcomes has received significant attention in the outpatient setting, with lessons applicable to the hospital. 8,9 More broadly, the Joint Commission has established a Hospital National Patient Safety Goal to ''encourage patients' active involvement in their own care as a patient safety strategy.'' 10 Examples set forth by the Joint Commission include involving patients in infection control measures, marking of procedural sites, and reporting of safety concerns relating to treatment.…”

Section: Discussionmentioning

confidence: 99%

Lack of patient knowledge regarding hospital medications

Cumbler

Wald

Kutner

2009

Journal of Hospital Medicine

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BACKGROUND:Patient involvement in preventing inpatient medication errors is predicated upon patient knowledge of their medications. However, there is little published on the accuracy of patient knowledge or understanding of their hospital medications.OBJECTIVE:To assess hospitalized patients' knowledge of their hospital medications and attitudes towards involvement in the medication safety process while hospitalized.METHODS:A cross‐sectional study of 50 adult internal medicine inpatients at the University of Colorado Hospital. Patients completed a list of the hospital medications they believed were prescribed to them and a survey of attitudes toward involvement in the medication safety process. The patient‐completed hospital medication list was compared to the hospital medication administration record.RESULTS:Ninety‐six percent of study patients omitted at least one prescribed hospital medication. On average, patients omitted 6.8 hospital medications. Forty‐four percent of patients believed they were receiving at least one hospital medication that was not actually prescribed. Patients < 65 years old omitted 60% of their as needed (PRN) medications whereas patients ≥ 65 years old omitted 88% (P = 0.01). Only 28% reported having seen their hospital medication list, although 81% reported this would improve their satisfaction with hospital care. Ninety percent wanted to review their hospital medication list for accuracy and 94% felt patient review of the hospital medication list had the potential to reduce errors.CONCLUSIONS:Our findings suggest that, in contrast to patient preferences, there are significant deficits in patients' knowledge of hospital medications. These results are a call to reexamine how we educate patients regarding their hospital medications. Journal of Hospital Medicine 2010;5:83–86. © 2010 Society of Hospital Medicine.

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“…39 Besides, health literacy is associated with disease state control, which in turn leads to awareness of health conditions and to treatment adherence. 40 In sum, patients with low health literacy are more likely to show poorer health conditions, deficient understanding of the determinants of health status, and inadequate ability to navigate the health system as compared with their health literate counterparts. However, the findings of the scientific literature about the relationship between health literacy and medication adherence are not consistent.…”

Section: Simondsmentioning

confidence: 99%

Discussing the Effects of Poor Health Literacy on Patients Facing HIV: A Narrative Literature Review

Palumbo

2015

Int J Health Policy Manag

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Background: Scholars describe poor health literacy as a "silent epidemic, " which is challenging the functioning of healthcare systems all over the world. Health literacy is mainly meant as an individual trait which concerns the ability to obtain, process, and understand basic health information in order to effectively navigate the health system. Low health literate patients perceive poor self-efficacy dealing with their health conditions, are not willing to be involved in the provision of care, show larger risks of hospitalization and mortality, and are not aware about the determinants of well-being. Hence, limited health literacy has been associated with inadequate management of long-term conditions; nonetheless, several authors argue that health literacy has been an overlooked factor dealing with HIV. Methods: This study is aimed at discussing the effects of poor health literacy on people living with HIV, drawing from the findings of a narrative literature review which involved 41 papers retrieved from the databases "Scopus-Elsevier" and "PubMed. " Results: The scientific literature is not consistent dealing with the relationship between health literacy and HIV treatment. For example, health literate patients seem to better understand their health conditions; on the other hand, people living with poor health literacy are likely to report higher compliance with providers' prescriptions, blindly trusting healthcare professionals. Conclusions: Poor health literacy is a social barrier to access healthcare services and to appropriate health treatment among patients living with HIV. Tailored interventions should be aimed at enhancing the health skills of patients affected by HIV infection to improve their ability to navigate the health system.

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Impact of Health Literacy on Health Outcomes in Ambulatory Care Patients: A Systematic Review

Cited by 97 publications

References 22 publications

Association of Health Literacy With Medication Knowledge, Adherence, and Adverse Drug Events Among Elderly Veterans

Association of Health Literacy With Medication Knowledge, Adherence, and Adverse Drug Events Among Elderly Veterans

Lack of patient knowledge regarding hospital medications

Discussing the Effects of Poor Health Literacy on Patients Facing HIV: A Narrative Literature Review

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