Health Literacy and 30-Day Postdischarge Hospital Utilization

@article{Mitchell2012HealthLA,
  title={Health Literacy and 30-Day Postdischarge Hospital Utilization},
  author={Suzanne E. Mitchell and Ekaterina Sadikova and Brian W. Jack and Michael K. Paasche-Orlow},
  journal={Journal of Health Communication},
  year={2012},
  volume={17},
  pages={325 - 338}
}
Low health literacy is associated with higher mortality, higher rates of hospitalization, and poor self-management skills for chronic disease. Early, unplanned hospital reutilization after discharge is a common and costly occurrence in U.S. hospitals. Still, few studies have examined the relation between health literacy and 30-day hospital reutilization rates. The authors examined the association between health literacy and 30-day reutilization of hospital services (readmission or return to the… 

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References

SHOWING 1-10 OF 31 REFERENCES

Health literacy and the risk of hospital admission

In this study population, patients with inadequate functional health literacy had an increased risk of hospital admission and was strongest among patients who had been hospitalized in the year before study entry.

Health literacy and outcomes among patients with heart failure.

Among patients with heart failure in an integrated managed care organization, low health literacy was significantly associated with higher all-cause mortality and hospitalization.

Health literacy and the quality of physician-patient communication during hospitalization.

Patients' ratings of the quality of physician-patient communication during hospitalization and how this varies by health literacy are analyzed to highlight the need for more attention to effective health communication in the hospital setting.

The relationship of patient reading ability to self-reported health and use of health services.

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.

Impact of health literacy on depressive symptoms and mental health-related quality of life among adults with addiction

In people with alcohol and drug dependence, low literacy is associated with worse depressive symptoms and the mechanisms underlying the relationship between literacy and mental health outcomes should be explored to inform future intervention efforts.

Post-discharge hospital utilization among adult medical inpatients with depressive symptoms.

A positive screen for depressive symptoms during an inpatient hospital stay is associated with an increased rate of readmission within 30 days of discharge in an urban, academic, safety-net hospital population.

Inadequate functional health literacy among patients at two public hospitals.

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.