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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