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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
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