The impact of health literacy on knowledge, Attitude and decision towards hospice care among community-dwelling seniors

Huang, Hsiang-Yun; Kuo, Kuang-Ming; Lu, I‐Cheng; Wu, Hsing; Lin, Chi‐Wei; Hsieh, Ming-Ta; Yuan, Lin; Huang, Ruyi; Liu, I-Ting; Huang, Chi-Hsien

doi:10.1111/hsc.12791

Cited by 16 publications

(10 citation statements)

References 40 publications

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“…39 Indeed, evidence has demonstrated that HHL has positive impact on hospice knowledge, attitude and decisionmaking. 40 Our findings corroborated the previous studies' conclusions on the relationship between HL and health care utilization but also expanded an understanding of higher aggressive EOL care among decedents in LHL areas. Education programs to improve HL level could be an effective way to promote hospice use and reduce aggressive care seeking behaviors.…”

Section: Discussionsupporting

confidence: 89%

Associations Between Health Literacy and End-of-Life Care Intensity Among Medicare Beneficiaries

Luo

Shi

Hung

et al. 2021

Am J Hosp Palliat Care

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Background: Despite well-documented disparities in end-of-life (EOL) care, little is known about whether patients with low health literacy (LHL) received aggressive EOL care. Objective: This study examined the association between health literacy (HL) and EOL care intensity among Medicare beneficiaries. Method: We conducted a retrospective analysis of Medicare fee-for-service decedents who died in July-December, 2011. ZIP-code-level HL scores were estimated from the 2010-2011 Health Literacy Data Map, where a score of 225 or lower was defined as LHL. Aggressive EOL care measures included repeated hospitalizations within the last 30 days of life, no hospice enrollment within the last 6 months of life, in-hospital death, and any of above. Using hierarchical generalized linear models, we examined the association between HL and aggressive EOL care. Results: Of 649,556 decedents, the proportion of decedents who received any aggressive EOL care among those in LHL areas was 82.7%, compared to 72.7% in HHL areas. In multivariable analyses, decedents residing in LHL areas, compared to those in HHL areas, had 31% higher odds of aggressive EOL care (adjusted odds ratio [AOR] 1.31; 95% confidence interval [CI]:1.21-1.42), including higher odds of no hospice use (AOR 1.35; 95% CI: 1.27-1.44), repeated hospitalization (AOR 1.07; 95% CI: 1.01-1.14) and in-hospital death (AOR 1.21; 95% CI: 1.13-1.29). Conclusion: Medicare beneficiaries who resided in LHL areas were likely to receive aggressive EOL care. Tailored efforts to improve HL and facilitate patient-provider communications in LHL areas could reduce EOL care intensity.

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Section: Discussionsupporting

confidence: 89%

Associations Between Health Literacy and End-of-Life Care Intensity Among Medicare Beneficiaries

Luo

Shi

Hung

et al. 2021

Am J Hosp Palliat Care

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“…This ratio is expected to rise in 2021. "the ability to read, understand, evaluate and use health information to make reasoned and health related decisions" is called health literacy (Huang et al, 2019;p.725). Literacy in health is an important issue, because more literated people will enhance their health-related knowledge and easily access to needed health information.…”

Section: Conceptual Background Ehealth Literacymentioning

confidence: 99%

“…So, eHealth Literacy term is now changing place with health literacy. eHealth Literacy has taken interest of many researchers in the last years and has been the subject of many studies (Tennant et al, 2015;Jacobs et al, 2016;Britt et al, 2017;Panahi et al, 2017;Kayser et al, 2018;Huang et al, 2019;Arcury et al, 2020;Hassan and Masoud, 2020;Lwin et al, 2020;Chang et al, 2021). eHealth Literacy is defined as "the ability to seek out, find, evaluate and appraise, integrate, and apply what is gained in electronic environments toward solving a health problem" by Norman and Skinner (2006;p.2).…”

Section: Conceptual Background Ehealth Literacymentioning

confidence: 99%

Gender Difference in eHealth Literacy: Empirical Evidence from Turkey

Özen¹

2021

IJARBSS

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People in the world became more eager to use digital health services and search health information online more often with the effect of COVID-19. Even before the pandemic, Turkish people started to use the Internet as a source for getting health related information according to Turkish Statistical Institute data. There is always some difference between men and women in various attitudes, perceptions, or behaviors. It is believed that gender also matters while searching health related information. This study examined the difference between men and women according to eHealth literacy. Gender differences were analyzed based on an online survey obtained from 520 Turkish Internet users. There was a significant difference between men and women according to their eHealth Literacy. Results showed that women felt more confident and skilled for searching health-related information online, so they found to be more highly eHealth literated than men.

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“…Studies conducted in different but related contexts support this claim. For instance, Huang et al, (2019) confirmed the positive impact of health literacy on attitude toward staying in hospice care. In another study, Panahi et al, (2017) found a positive correlation between health literacy and attitudes toward the harm of smoking.…”

Section: E-health Literacymentioning

confidence: 71%

A Pathway to Sustainable Health During COVID-19 Pandemic: Digital Health Services

Özen

Yaşin

2021

Accounting, Finance, Sustainability, Governance &Amp; Fraud: Theory and Application

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In this paper, we aim to examine the effect of health information orientation on attitudes toward using digital health services and explore the mediating role of e-health literacy in this relationship. We also tested the impact of attitudes toward using digital health services on digital health service use intention. We collected data through an online survey method. A total of 520 respondents participated, and data were analyzed using structural equation modeling. The results showed that people who are health information oriented and capable of finding and utilizing e-health information have positive attitudes and intention toward using digital health service. Variables in the model explain 60% of the variance in digital health service use intention. This study confirmed the partial mediating role of e-health literacy on the relationship between health information orientation and attitudes toward using digital health services. Future research is needed to explore whether these relationships are confirmed in a specific health context. Furthermore, comparing the digital health service usage attitudes and intentions of people who have and do not have chronic illnesses can also be insightful. Cross-cultural comparisons may also add to the knowledge related to the adoption of digital health services. We conducted this study during the early phase of COVID-19 pandemic in Turkey and explored the digital health service use intention partly within the Theory of Reasoned Action framework. We have also tried to contribute to Sustainable Development Goals with our research results.

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The impact of health literacy on knowledge, Attitude and decision towards hospice care among community-dwelling seniors

Cited by 16 publications

References 40 publications

Associations Between Health Literacy and End-of-Life Care Intensity Among Medicare Beneficiaries

Associations Between Health Literacy and End-of-Life Care Intensity Among Medicare Beneficiaries

Gender Difference in eHealth Literacy: Empirical Evidence from Turkey

A Pathway to Sustainable Health During COVID-19 Pandemic: Digital Health Services

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