Keiro Health Literacy: Prescription to Cure Confusion

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Health Literacy:Prescription to Cure

Confusion

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What We Will Cover Today…

• What is health literacy?

• Why is health literacy important?

• How can I improve my health literacy?

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Health Literacy - Health Resources and Services Administration of U.S. Department of Health and Human Services

• The degree to which individuals have the capacity to obtain, process and understand basic health information needed to make appropriate health decisions and services needed to prevent or treat illness.

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Health Literacy

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Health Literacy - Health Resources and Services Administration of U.S. Department of Health and Human Services

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How Health Literate Are You? REALM –R, Journal of General Internal Medicine December 2003; 18:1036-1038

FatFluPill

AllergicJaundiceAnemia

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Fatigue DirectedColitis

ConstipationOsteoporosis

How Health Literate Are You?The Newest Vital Sign: Barry D. Weiss, MD, Mary Z. Mays, PH D. […], and Frank A. Hale, Ph D.

Question: If you ate the entire

container, how many calories will you eat?

Answer: ___________

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1000

Question: If you are allowed to

eat 60g of carbohydrates as a snack, how much ice cream could you have?

Answer: ____________

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How Health Literate Are You?The Newest Vital Sign: Barry D. Weiss, MD, Mary Z. Mays, PH D. […], and Frank A. Hale, Ph D.

1 cup or ½ cup

Question: Your doctor advises you to

reduce the amount of saturated fat in your diet. You usually have 42g of saturated fat each day, which includes 1 serving of ice cream. If you stop eating ice cream, how many grams of saturated fat would you be consuming every day?

Answer: ____________ 9

How Health Literate Are You?The Newest Vital Sign: Barry D. Weiss, MD, Mary Z. Mays, PH D. […], and Frank A. Hale, Ph D.

33g

Question: If you usually eat 2500

calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?

Answer: ____________

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How Health Literate Are You?The Newest Vital Sign: Barry D. Weiss, MD, Mary Z. Mays, PH D. […], and Frank A. Hale, Ph D.

10%

Question: Pretend that you are

allergic to penicillin, peanuts, latex gloves, and bee stings.

Is it safe for you to eat this ice cream?

Answer: ____________

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How Health Literate Are You?The Newest Vital Sign: Barry D. Weiss, MD, Mary Z. Mays, PH D. […], and Frank A. Hale, Ph D.

No!

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How Health Literate Are You?Office on Women’s Health, U.S. Department of Health and Human Services

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How Health Literate Are You?Office on Women’s Health, U.S. Department of Health and Human Services

How Health Literate Are You?

• Only 14% of U.S. adults understand 4 insurance concepts– What is deductible?– What is copay?– What is coinsurance?– What is out-of-pocket cost?

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How Health Literate Are You?Loewenstein, George, et al., Consumer's Misunderstanding of Health Insurance, Journal of Health Economics, Vol 32.(1), September 2013; 850-862

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How Health Literate Are You?Loewenstein, George, et al., Consumer's Misunderstanding of Health Insurance, Journal of Health Economics, Vol 32.(1), September 2013; 850-862

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How Health Literate Are You?Loewenstein, George, et al., Consumer's Misunderstanding of Health Insurance, Journal of Health Economics, Vol 32.(1), September 2013; 850-862

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How Health Literate Are You?Loewenstein, George, et al., Consumer's Misunderstanding of Health Insurance, Journal of Health Economics, Vol 32.(1), September 2013; 850-862

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Why is Health Literacy Important?Low health literacy Poor health

outcomes

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Why is Health Literacy Important?

“Poor health literacy is a stronger predictor of a person’s health than age, income, employment status,

education level, and race.”

- The American Medical Association20

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Everyone has health insurance

Triple Aim

Care is coordinated

Health Literacy and Affordable Care Act

• Individual Mandate – everyone has insurance – Insurance and enrollment information

must be consumer friendly.– Simplify Medicaid/Medi-Cal enrollment

• Currently health care information written at 10th grade level; average American reads at 5th grade level.

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Health Literacy and Affordable Care Act

• Being healthy or learning how to become and stay healthy requires:– Substantial self-activation– Resources– Willpower– Lifestyle modification

Challenging for anyone, let alone one with low health literacy.

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Results - Health Resources and Services Administration of U.S. Department of Health and Human Services

Skip tests/preventive services

ER and Hospital visits

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Results - Health Resources and Services Administration of U.S. Department of Health and Human Services

Difficulty managing chronic diseases

Worse health outcomes

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Results - Health Resources and Services Administration of U.S. Department of Health and Human Services

Misunderstanding prescriptions, drug errors

Poor understanding of nutrition labels

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Results - Health Resources and Services Administration of U.S. Department of Health and Human Services

Difficulty locating providers and services

Difficulty filling out health forms /medical histories

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Results - Health Resources and Services Administration of U.S. Department of Health and Human Services

Death Higher Costs

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What Can I Do to Improve My Health Literacy?

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Barriers to Health Literacy• Education• Culture• Language• Access to resources• Age

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Ways to Improve Health Literacy“National Action Plan to Improve Health Literacy” – U.S. DHHS 2010

• Improve communication with your doctors and other health professionals

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Ways to Improve Health Literacy“National Action Plan to Improve Health Literacy” – U.S. DHHS 2010

• Utilize community resources

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Ways to Improve Health Literacy“National Action Plan to Improve Health Literacy” – U.S. DHHS 2010

• Help improve health education at home and in schools

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Keiro Health Literacy Project

• Health Care Reform– www.keiro.org/health-care-reform-2013

• Vitality Forums• Lifelong Learning Courses• Online Fact Sheets• Resource Directory

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Healthy Community - Healthy People!

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Contact Information

Keiro 325 S. Boyle Avenue

Los Angeles, CA 90033(323) 980-7555

contact@keiro.orgwww.keiro.org

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