The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults

MacLeod, Stephanie; Musich, Shirley; Gulyas, S.; Cheng, Yan; Tkatch, Rifky; Cempellin, Diane; Bhattarai, Gandhi R.; Hawkins, Kevin; Yeh, Charlotte S.

doi:10.1016/j.gerinurse.2016.12.003

Cited by 146 publications

(169 citation statements)

References 49 publications

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“…All these challenges with information sharing may manifest at a macroscopic level as low health literacy. Health literacy is defined by the World Health Organization as “the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health.” Older age has been identified as a risk factor for low health literacy, particularly for those aged 85 or above …”

Section: Challenges Of Shared Decision‐making With Older Adultsmentioning

confidence: 99%

“…32 Older age has been identified as a risk factor for low health literacy, particularly for those aged 85 or above. 33,34 The involvement of multiple family members and/or caregivers is another feature sometimes seen with older patients; it is a blessing and a curse. Older patients in some cases have one, two, or even three generations of family members involved with their care, as well as other paid or voluntary caregivers.…”

Section: The Challenges Of Sharing Medical Information With Older Amentioning

confidence: 99%

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Shared decision‐making for older adults with cardiovascular disease

Backman

Levine

Wenger

et al. 2019

Clinical Cardiology

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Shared decision‐making is appropriate for clinical decisions involving multiple reasonable options, which occur frequently in the cardiovascular care of older adults. The process includes the communication of relevant factual information between the patient and the clinician, elicitation of patient preferences, and a mutual agreement on the best course of action to meet the patient's personal goals. For older adults, there are common challenges and considerations with regard to shared decision‐making, some of which (eg, cognitive impairment) may be biologically linked to cardiovascular disease. There are tools designed to facilitate the shared decision‐making process, known as decision aids, which are broadly effective although have shortcomings when applied to older adults. Novel approaches in clinical research and health systems changes will go some way toward improving shared decision‐making for older adults, but the greatest scope for improvement may be within the grass roots areas of communication skills, interdisciplinary teamwork, and simply asking our patients what matters most.

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Section: Challenges Of Shared Decision‐making With Older Adultsmentioning

confidence: 99%

Section: The Challenges Of Sharing Medical Information With Older Amentioning

confidence: 99%

Shared decision‐making for older adults with cardiovascular disease

Backman

Levine

Wenger

et al. 2019

Clinical Cardiology

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“…Individuals with lower educational attainment might have lower health literacy, therefore impeding their ability to obtain PrG-relevant information, such as the location or dates of activities. 23 In contrast, lower educational attainment was related to a higher OR for continuous participation in PuG. This unexpected finding might indicate that individuals with a higher educational level feel a needs discrepancy towards PuG.…”

Section: Discussionmentioning

confidence: 86%

“…Lower educational attainment was related to a lower OR for new participation in PrG. Individuals with lower educational attainment might have lower health literacy, therefore impeding their ability to obtain PrG‐relevant information, such as the location or dates of activities . In contrast, lower educational attainment was related to a higher OR for continuous participation in PuG.…”

Section: Discussionmentioning

confidence: 86%

Factors that promote new or continuous participation in social group activity among Japanese community‐dwelling older adults: A 2‐year longitudinal study

Nemoto

Nonaka

Hasebe

et al. 2018

Geriatrics Gerontology Int

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“…It is worth noting the questionnaires used in 2008 and 2012 surveys are different, and pre-tests were conducted to make sure the resulting rates are comparable. [4] Questions, depending on relevance to public health, can be divided into six categories: (1) scientific views of health; (2) infectious disease prevention; (3) chronic disease prevention; (4) safety and first aid; (5) medical care; (6) health information.…”

Section: Questionnaire Design and Measure Of Health Literacymentioning

confidence: 99%

Health Literacy and its Effect on Chronic Disease Prevention: Evidences from China’s Data

Liu

Qian

Chen³

et al. 2020

Preprint

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Background Improving health literacy is an important public health goal in many countries. Although many studies have suggested that low health literacy has adverse effects on an individual’s health outcomes, confounding factors are often not accounted. This paper examines the interplay between health literacy and chronic disease prevention. Methods A population-based sample of 8194 participants aged 15-69 years old in Ningbo were used from China’s 2017 National Health Literacy Surveillance Data. We use multivariate regression analysis to disentangle the relationship between health literacy and chronic disease prevention. Results We find the association between health literacy and the occurrence of the first chronic condition is attenuated after we adjust the results for age and education. This might arise because having one or more chronic conditions is associated with better knowledge about chronic diseases, thus improve their health literacy. More importantly, we find health literacy is associated with a reduction in the likelihood of having a comorbid condition. However, this protective effect is only found among urban residents, suggesting health literacy might be a key factor explaining the rural-urban disparity in health outcomes. Conclusion Our findings highlight the important role of health literacy in preventing comorbidities instead of preventing the first chronic condition. Moreover, family support could help improve health literacy and result in beneficial effects on health.

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The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults

Cited by 146 publications

References 49 publications

Shared decision‐making for older adults with cardiovascular disease

Shared decision‐making for older adults with cardiovascular disease

Factors that promote new or continuous participation in social group activity among Japanese community‐dwelling older adults: A 2‐year longitudinal study

Health Literacy and its Effect on Chronic Disease Prevention: Evidences from China’s Data

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