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… Expand

Paper Mentions

Interventional Clinical Trial
Diabetes is present in 25% of hospitalized patients; yet effective hospital discharge programs for patients with diabetes are understudied. In particular, patients who are… Expand
ConditionsBlood Glucose, High, Blood Glucose, Low, Diabetes Mellitus, Type 2, (+1 more)
InterventionOther
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References

SHOWING 1-10 OF 35 REFERENCES
Health literacy and the risk of hospital admission
TLDR
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. Expand
Health literacy and outcomes among patients with heart failure.
TLDR
Among patients with heart failure in an integrated managed care organization, low health literacy was significantly associated with higher all-cause mortality and hospitalization. Expand
Effects of health literacy on health status and health service utilization amongst the elderly.
TLDR
It is found that health literacy had direct effects on health outcomes and that improving health literacy may be an effective strategy to improve health status and to reduce the use of expensive hospital and emergency room services among elderly patients. Expand
Health literacy and the quality of physician-patient communication during hospitalization.
TLDR
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. 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
In search of 'low health literacy': threshold vs. gradient effect of literacy on health status and mortality.
TLDR
It is concluded that the nature of the relationship between literacy and health may vary depending upon the outcome under examination. Expand
Impact of health literacy on depressive symptoms and mental health-related quality of life among adults with addiction
TLDR
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. Expand
Post-discharge hospital utilization among adult medical inpatients with depressive symptoms.
TLDR
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. 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
Health literacy and the patient with heart failure--implications for patient care and research: a consensus statement of the Heart Failure Society of America.
TLDR
General health literacy principles should be applied to patients with heart failure, similar to others with chronic conditions, and timely recognition of low health literacy combined with tailored interventions should be integrated into clinical practice. Expand
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