Functional health literacy and the risk of hospital admission among Medicare managed care enrollees.

@article{Baker2002FunctionalHL,
  title={Functional health literacy and the risk of hospital admission among Medicare managed care enrollees.},
  author={D. Baker and J. Gazmararian and Mark V. Williams and T. Scott and R. Parker and D. Green and Junling Ren and Jennifer Peel},
  journal={American journal of public health},
  year={2002},
  volume={92 8},
  pages={
          1278-83
        }
}
OBJECTIVES This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission. METHODS We studied a prospective cohort of 3260 Medicare managed care enrollees. RESULTS Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n = 800; RR = 1.43; 95% confidence interval [CI] = 1.24, 1.65) and marginal literacy (n = 366; RR = 1.33; 95% CI = 1.09, 1.61… Expand
Health literacy and use of outpatient physician services by medicare managed care enrollees
TLDR
It is suggested that inadequate literacy is not a major barrier to accessing outpatient health care and the higher rates of ED use by persons with low literacy may be caused by real or perceived barriers to using their usual source of outpatient care. Expand
The impact of low health literacy on the medical costs of Medicare managed care enrollees.
TLDR
People with inadequate health literacy incur higher medical costs and use an inefficient mix of services, according to this study. Expand
Health Literacy Predicts Morbidity and Mortality in Rural Patients With Heart Failure.
TLDR
Inadequate or marginal health literacy is a risk factor for heart failure rehospitalization or all-cause mortality among rural patients with heart failure. Expand
Health literacy and mortality among elderly persons.
TLDR
Inadequate health literacy, as measured by reading fluency, independently predicts all-cause mortality and cardiovascular death among community-dwelling elderly persons. Expand
Limited health literacy and adverse outcomes among kidney transplant candidates
  • F. Warsame, C. Haugen, +8 authors M. McAdams-DeMarco
  • Medicine
  • American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
  • 2019
TLDR
Investigation of the prevalence of limited health literacy among adult kidney transplant candidates and its association with listing for transplant and waitlist mortality in this pilot study found that 8.9% of candidates hadlimited health literacy. Expand
Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population.
TLDR
Based on this small study, very limited reading skills seem to be independently associated with higher health care charges among medically needy and medically indigent Medicaid patients. Expand
Adequate health literacy is associated with better health outcomes in people with type 2 diabetes in Mexico
TLDR
In conclusion, healthcare providers should actively address the health literacy needs of patients to increase good self-rated health, glucose control and reduce hospitalizations. Expand
Health literacy and 30-day hospital readmission after acute myocardial infarction
TLDR
Health literacy, as measured by a predictive model, was found to be a significant, independent predictor of 30-day readmissions, and should be considered in readmission reduction efforts. Expand
Adequate Health Literacy Is Associated With Higher Heart Failure Knowledge and Self-care Confidence in Hospitalized Patients
TLDR
Findings demonstrate the high prevalence of inadequate and marginal health literacy and that health literacy is an important consideration in promoting HF knowledge and confidence in self-care behaviors, particularly among older adults and those with less than a high school education. Expand
Relationship of literacy and heart failure in adults with diabetes
TLDR
Over one quarter of diabetic adults with HF have limited literacy, and clinicians should be aware that many of their patients have important limitations in dealing with written materials. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 24 REFERENCES
Health literacy among Medicare enrollees in a managed care organization.
TLDR
Elderly managed care enrollees may not have the literacy skills necessary to function adequately in the health care environment, and low health literacy may impair elderly patients' understanding of health messages and limit their ability to care for their medical problems. Expand
The association between age and health literacy among elderly persons.
TLDR
Functional health literacy was markedly lower among older age groups even after adjusting for differences in MMSE performance, newspaper reading frequency, health status, and visual acuity. Expand
Inadequate functional health literacy among patients at two public hospitals.
TLDR
Many patients at the authors' institutions cannot perform the basic reading tasks required to function in the health care environment, and inadequate health literacy may be an important barrier to patients' understanding of their diagnoses and treatments, and to receiving high-quality care. Expand
Illiteracy among Medicaid Recipients and its Relationship to Health Care Costs
TLDR
While there are compelling reasons to improve poor reading skills among Medicaid enrollees, illiteracy in this population does not appear to contribute to the high cost of providing government-sponsored care. Expand
Relationship of functional health literacy to patients' knowledge of their chronic disease. A study of patients with hypertension and diabetes.
TLDR
Inadequate functional health literacy poses a major barrier to educating patients with chronic diseases, and current efforts to overcome this appear unsuccessful. Expand
Use of a low-literacy patient education tool to enhance pneumococcal vaccination rates. A randomized controlled trial.
TLDR
A simple, low-literacy educational tool increased pneumococcal vaccination rates and patient-physician discussions about the vaccine in an elderly, lowliterate, indigent, minority population. Expand
The relationship of patient reading ability to self-reported health and use of health services.
TLDR
Low literacy is strongly associated withSelf-reported poor health and is more closely associated with self-reported health than number of years of school completed. Expand
Health literacy: report of the Council on Scientific Affairs. Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association.
TLDR
Preliminary studies indicate inadequate health literacy may increase the risk of hospitalization and future research should focus on optimal methods of screening patients to identify those with poor health literacy. Expand
A new method of classifying prognostic comorbidity in longitudinal studies: development and validation.
TLDR
The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach. Expand
The health care experience of patients with low literacy.
TLDR
To understand the difficulties that patients with poor reading ability have interacting with the health care system and to identify the coping mechanisms they use to deal with these problems, two large, urban public hospitals are chosen. Expand
...
1
2
3
...