Advocacy X Health Literacy

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Topic: Health literacy


Summary: 

Health literacy is the ability to obtain and process information related to one’s own healthcare. In the United States only 12% of individuals have proficient health literacy, leaving 9 out of 10 individuals unable to adequately comprehend information related to their own health. It is estimated that, on average, people in the United States read at a 7th-8th grade reading level, yet according to studies, patient educational materials are above the 8th grade reading level 30-100% of the time, often requiring university level reading skills. This can lead to medication non-adherence, missed appointments and seemingly irrational health care choices due to misunderstandings. In the ED we provide many patients with quick education, hand outs and strict instructions to help ensure a safe discharge home, or guide them towards healthy choices about their care. It's important that we recognize the problem of health literacy and work towards improving our communication with patients to ensure patient safety and understanding.


More detailed assessment of the problem using national survey data

https://web.archive.org/web/20190703141400/https://health.gov/communication/literacy/issuebrief/


Systematic Review on Health Literacy in the ED

https://www.annemergmed.com/article/S0196-0644(10)01465-4/abstract


Big News: 

Failure to meet health literacy standards during Covid

https://www.usatoday.com/story/news/health/2020/08/18/covid-cdc-white-house-fail-meet-health-literacy-guidelines/3389522001/


Institute for Healthcare Improvement - Health Literacy annual conference archive

https://www.eventscribe.net/2021/hlc20/


Health Literacy In Action 2021 Conference

https://www.healthliteracysolutions.org/events/event-description?CalendarEventKey=880bd90e-8f05-4929-9b61-1b0a12ef0903&Home=/events-conferences/calendar



Recent News: 


Advocacy Tools, Resources and Efforts:


8 Ways to Improve Health Literacy in Daily Practice by the IHI

http://www.ihi.org/communities/blogs/8-ways-to-improve-health-literacy


Screening tools (most are very lengthy but the Single Item Literacy Screen is quick but slightly limited due to only moderate sensitivity)

https://web.archive.org/web/20181223023227/http://www.centralwestgippslandpcp.com/wp-content/uploads/2011/12/Module-2_Health-Literacy-Screening-Tools.pdf


Readability Test (useful for checking if your pamphlets are an appropriate reading level)

https://www.online-utility.org/english/readability_test_and_improve.jsp


CDC Health Literacy Tool Kit

https://www.cdc.gov/healthliteracy/learn/Resources.html


Guidelines Laws and Standards

https://www.cdc.gov/healthliteracy/guidelines.html


Policies by governing bodies:

ACEP: No formal statement available online

SAEM: No formal statement available online

US Department of Health and Human Services Action Plan

https://health.gov/communication/hlactionplan/pdf/Health_Literacy_Action_Plan.pdf


Contact us:

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Other Citations

https://health.gov/communication/literacy/issuebrief/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514986/