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Academic Value of Health Literacy

Academic Value of Health Literacy. April 6, 2009 Health Literacy Symposium Leadership Dinner. Key National Reports. Institute of Medicine (2004) Healthy People 2010 (2000) Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy

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Academic Value of Health Literacy

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  1. Academic Value of Health Literacy April 6, 2009 Health Literacy Symposium Leadership Dinner

  2. Key National Reports • Institute of Medicine (2004) • Healthy People 2010 (2000) • Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy • The Joint Commission (2007) • American Medical Association (2007) • Agency for Healthcare Research and Quality (2004) • $58 billion to $73 billion per year

  3. Health Literacy in the US77 million adults have basic or below health literacy skills Proficient 12% Intermediate Below Basic 53% 13% Basic 22% Results from the 2003 National Assessment of Adult Literacy

  4. University of Utah Health Sciences Center Mission • Patient Care • Education • Research

  5. Mission – Patient Care • Research has shown that improved health literacy results in: • Decreased medication adverse effects • Improved health outcomes • Better patient treatment compliance • Appropriate use of medical services • less reliance on emergency services, lower hospital admissions; better prevention • Increased patient satisfaction and safety

  6. Patient Care Key Studies – • Agency for Healthcare Research and Quality Evidence Report/Technology Assessment,Number 87:Literacy and Health Outcomes, January 2004 • Keller DL, Wright J, Pace HA. Impact of health literacy on health outcomes in ambulatory care patients: a systematic review. Ann Pharmacother. 2008 Sep;42(9):1272-81. Epub 2008 Jul 22. Review. • Baker DW, Gazmararian JA, Williams MV, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92: 1278–1283. • Williams MV, Parker RM, Baker DW, Parikh NS, Pitkin K, Coates WC, Nurss JR. Inadequate functional health literacy among patients at two public hospitals. JAMA 1995 Dec 6; 274(21):1677-82

  7. Mission - Education • Many universities already have courses on topic being offered: • Harvard • Johns Hopkins • Rutgers • Tufts • Oregon Health & Science University

  8. Education - Key topics • Definitions and implications • Review of different measurement tools • How to find relevant literature and critique it • Discuss need for collaborative work between disciplines especially adult educators • Assessment and development of written materials • Social marketing and media applications

  9. Education - Course Formats • Analysis of readings • Student leadership of discussions • Student presentations on topics • Structured exercises • Field observations at different facility types • Lectures

  10. Education • One includes as part of cultural competency training – • University of Virginia Medical Center • One offers a concentration or elective in health literacy – - Harvard’s School of Public Health (concentration) - Tufts (elective) • One has a health literacy standardized patient program • Oregon Health & Science University

  11. Education Some have mandatory classes or are considering such – • Tufts – for MPH Health Communication students • Oregon Health & Science University

  12. Education • And many have classes taught by their librarians: • University of South Alabama • University of Alabama • Creighton University • Washington University

  13. Mission - Research • Lots of funding available from NIH, R01, R03, NLM, etc. • Research helps to determine cost benefit and effectiveness of health literacy • 2900% increase in number of published articles in PubMed in the last decade (n=3 vs. 90)

  14. Available Resources • AMA – Health Literacy and patient safety: Help Patients Understand • HRSA – Unified Health Communication 101: Addressing Health Literacy • VCU – Virginia Adult Education Health Literacy Toolkit • Medical Library Association • Mediated curriculum • Self-guided Web tutorial

  15. Panel Discussion Further elaborate on the value of health literacy and its importance to universities • Dr. Barry Weiss – University of Arizona Faculty • Dr. Joseph Hatch – School of Medicine • Marty Malheiro – College of Pharmacy • Dr. Jackie Smith – College of Nursing • Jean Shipman – Spencer S. Eccles Health Sciences Library/Medical Library Association

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