Understanding Health Literacy as a Health Care Costs
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Transcript of Understanding Health Literacy as a Health Care Costs
UNDERSTANDING HEALTH LITERACY AS A HEALTH CARE COST
E. KELLY, 2016
WEBINAR OCTOBER 22, 2015
PRESENTER – ELIZABETH KELLY, PH.D., RN., APN-CH
E. Kelly, 2016
YOUR IDEAS ABOUT HEALTH LITERACY
U.S. HEALTH CARE EXPENDITURES ARE THE HIGHEST IN THE WORLD?
Y N
$9,255.00
$2.9 TRILLION
17.4% GDP (2013)
SOURCES: CDC; AETNA.ORG
• MOST EXPENSIVE HEALTH CARE IN THE WORLD; • LOWEST RESULTS IN ACCESS EFFICIENCY EQUITY HEALTHY LIVES• OVERALL RANKING = 11TH OF 11 INDUSTRIALIZED NATIONS
• SOURCE: COMMONWEALTH FUND (2014); OECD
U. S. HEALTH CARE DOLLAR DISTRIBUTION (2013)
• HOSPITAL CARE (32.1%) • PHYSICIAN AND CLINICAL SERVICES (20.1%)• PRESECRIPTION DRUGS (9.3%)• NURSING HOME FACILITIES AND CONTINUING
CARE (RETIREMENT COMMUNITES) (7.3%)• OTHERS (33.2%) RESEARCH, HEALTH LITERACY,
HOME HEALTH, EQUIPMENT
• SOURCES: CDC, AETNA.ORG
U. S. HEALTH EXPENDITURE OUTCOMES
• LIFE EXPECTANCY;
• EMERGENCY ROOM VISITS;
• INFANT MORTALITY;
• HEALTH STATUS
• SOURCES: WORLD BANK, ORG; OECD; HEALTHY PEOPLE 2020
HEALTH LITERACY in the U. S.• ISSUE EMERGED 10 YEARS AGO
• DEFINED AS - “DEGREE TO WHICH INDIVIDUALS HAVE THE CAPACITY TO OBTAIN, PROCESS, UNDERSTAND BASIC HEALTH INFORMATION AND SERVICES NEEDED TO MAKE APPROPRIATE HEALTH DECISIONS.”
• SOURCES: IOM; PUBLICHEALTH.GWU.EDU
HEALTH LITERACY DISTRIBUTION IN THE U.S. (2003)
HEALTH LITERACY LEVELS DEFINITIONS PERCENTAGES
BELOW BASIC LOCATE NUMBERS AND INFORMATION;FOLLOW SIMPLE DIRECTIONS
14%
BASIC READ AND UNDERSTAND INFORMATION;SOLVE SIMPLE PROBLEMS
22%
INTERMEDIATE READ AND UNDERSTAND COMPLEX DOCUMENTS;PROBLEM SOLVE
52%
PROFICIENT READ AND SYNTHESIZE INFORMATION;MULTI-STEP PROBLEMSSOURCE: NAAL (2003); PUBLICHEALTH.GWU.EDU
12%
U. S. HEALTH CARE COSTS FROM HEALTH LITERACY
• $7,500.00 PER PERSON/YEAR
• COSTS THE ECONOMY = $106 - $238 BILLION YEARLY
• WITHOUT ADDRESSING THE ISSUE = HEALTH CARE COSTS RISE TO $1.6 - $3.6 TRILLION
• SOURCES: NNLM; PUBLICHEALTH.GWU.EDU; IOM (2004 & 2O15)
HEALTH LITERACY INFLUENCES
• TREATMENT KNOWLEDGE AND CHOICES;• LOWER ADHERANCE TO TREATMENTS;• ONGOING POOR HEALTH STATUS;• HIGHER MORTALITY RATES;• INCREASE MEDICATION ERRORS;• USE OF MEDICATION;• UNDERSTANDING HEALTH INSURANCE
• SOURCES: AHRQ; HEALTHLEADERMEDIA.COM
• OVER 65 YEARS OLD;• WITHOUT HIGH SCHOOL/GED EDUCATION;• LOW INCOME;• NON-ENGLISH SPEAKERS;• THOSE WITH LIMITED ACCESS TO HEALTH
CARE;• LEARNING DISABILITIES• SOURCES: NNLM, IOM
– STEP 1
• ACKNOWLEDGE IMPORTANCE OF THE ISSUE;• APPLY QUALITY MEASURES FROM ACA;• INCREASE HIGH SCHOOL GRADUATION RATES;• CHANGES WITHIN THE HEALTH CARE SETTING: IMPROVE SIGNAGE; IMPROVE FORMS; FOLLOW-UP AT DISCHARGE PLANNING; FOLLOW-UP AFTER HEALTH CONTACT• SOURCES: IOM; PUBLICHEALTH.GWU.EDU
• HEALTH LITERACY RESOURCES SOCIAL DETERMINANTS FROM HEALTHY PEOPLE 2020; “HEALTH LITERACY UNIVERSAL PRECAUTIONS TOOL KIT” INCLUDE TEACH BACK/TALK BACK;
• HEALTH LITERACY POLICY INCLUDE IN HEALTH DISPARITIES; INCLUDE COMMUNITY REPRESENTATIVES; • SOURCES: AHRQ; IOM; ACA; ADULT LEARNING THEORY
• “HEALTH LITERACY IS AN UNDER-RECOGNIZED, SILENT EPIDEMIC TO AN ISSUE OF HEALTH POLICY AND REFORM.”
• “HEALTH LITERACY IS NOT GLAMOROUS, BUT IT IS AT THE CORE OF EVERYTHING WE DO.”
• SOURCES: NNLM; IOM
E E. KELLY, 2016
• TO EACH OF YOU WHO PARTICIPATED IN TODAY’S WEBINAR
• E. E. KELLY, 2016
REFERENCESORGANIZATIONS
• Retrieved from http://www.Agencyforhealthresearchqulaity.gov (AHRQ)• Retrieved from http://www.Centerfordiseasecontrol.gov (CDC)• Retrieved from http://www.Healthypeople.gov (2020)• Retrieved from http://www.Health.gov• Retrieved from http://www.Aetna.org• Retrieved from http://www.Commonwealthfund.org (2014)• Retrieved from http://www.Susangkomen.org• Retrieved from http://www.Cancer.org (American Cancer Society)• Retrieved from http://www.OEDC.org• Retrieved from http://www.Instituteofmedicine.org• Retrieved from http://www.nationaladultassessmentleague (2003) (NAAL)• Retrieved from http://www.healthleadermedia.com• Retrieved from http://www.Publichealth.gwu.edu
E. Kelly, 2016
REFERENCES
LEGISLATION
• Retrieved from http://www.Healthcare.com (ACA) Quality of Care and Delivery Systems, Section 2701, Title !! – Role of Public Programs
AUTHORS
• Baker, D. (2007) Health Literacy and Mortality Among Elderly Persons. JGIM, 19,(3): 215-220.• Friedman, N. (2015) What we’re not ‘Feeling’ Health Literacy. Huffington Post (07/10/15)• Mantell, M (2014) Health Literacy-Huh. Huffington Post (06/02/14)
E. Kelly, 2016