Development and Implementation of a Health Literacy Training Program for Medical Residents

Kripalani, Sunil; Jacobson, Kara L.; Brown, Samatha; Manning, Kimberly D.; Rask, Kimberly J.; Jacobson, Terry A.

doi:10.3402/meo.v11i.4612

Cited by 41 publications

(37 citation statements)

References 35 publications

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“…Countries where health literacy has been included in university-based health professional training programs focus mainly on medical education [25,38,39], and appear not to report on the impact of improved health literacy on patient communications and outcomes. It also appears that their approaches have been inconsistent [30] and ineffective [40].…”

Section: Discussionmentioning

confidence: 99%

Health Literacy amongst Health Professional University Students: A Study Using the Health Literacy Questionnaire

et al. 2017

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Abstract:Background: This study aimed to assess and compare health literacy levels in a range of university-based health students. Methods: A survey containing the Health Literacy Questionnaire (HLQ) was administered to students enrolled in university-based medical, allied health or nursing degree programs. The HLQ scores and scale scores were compared across student groups. Results: In total, 374 students (24% response rate) with a median age of 25 years (range: 17-61 years), returned completed surveys. Three students who did not identify their degree programs were excluded from the final analysis which included 371 respondents; 242 graduate-entry medical students (65%), 67 allied health students (18%) and 62 nursing students (17%). Overall, the medical students had the highest score for seven of the nine HLQ scales; while the nursing students had the lowest score for all of the nine HLQ scales. Conclusion: These results show that health literacy profiles are different across student groups. In order to provide excellent patient-centred care, and to successfully look after their own health, a high level of health literacy is required by future health professionals. Health literacy training modules, tailored according to the different needs of the student groups, should therefore be included in university-based health professional degree programs.

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Section: Discussionmentioning

confidence: 99%

Health Literacy amongst Health Professional University Students: A Study Using the Health Literacy Questionnaire

et al. 2017

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“…In addition, census level data, such as the data used within this study, can help identify areas within the community that may benefit from targeted services. Healthcare entities serving these areas could educate their providers and staff in accessing 42 health literacy and providing information to patients at the appropriate literacy level [44][45][46] which may, in turn, help achieve better health outcomes. 3,4 Our analysis indicated that overall visits and expenditures were inversely related to health literacy, there is the possibility that changes in observed expenditures may have resulted from sampling variation.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy Impact on National Healthcare Utilization and Expenditure

Rasu

Bawa

Suminski

et al. 2015

Int J Health Policy Manag

164

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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“…To be eligible, patients were required to speak English, have a visual acuity better than 20/60, as assessed by a pocket screening card, and be scheduled to see 1 of 21 Internal Medicine residents who had already provided consent to be audio-taped as part of a larger study. 29 Participating patients also provided written consent. They received $5 compensation.…”

Section: Study Design and Samplementioning

confidence: 99%

Patient Literacy and Question-asking Behavior During the Medical Encounter: A Mixed-methods Analysis

et al. 2007

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Development and Implementation of a Health Literacy Training Program for Medical Residents

Cited by 41 publications

References 35 publications

Health Literacy amongst Health Professional University Students: A Study Using the Health Literacy Questionnaire

Health Literacy amongst Health Professional University Students: A Study Using the Health Literacy Questionnaire

Health Literacy Impact on National Healthcare Utilization and Expenditure

Patient Literacy and Question-asking Behavior During the Medical Encounter: A Mixed-methods Analysis

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