is literacy rate a confounder or effect modifier in patients using patient portal

by Clifton Williamson 6 min read

Patient education and health literacy - PubMed

22 hours ago Health literacy is linked to literacy and entails people's knowledge, motivation and competences to access, understand, appraise and apply health information in order to make judgements and take decisions in everyday life concerning health care, disease prevention and health promotion to maintain or improve quality of life during the life course. >> Go To The Portal


How does low health literacy affect patient outcomes?

Health literacy is linked to literacy and entails people's knowledge, motivation and competences to access, understand, appraise and apply health information in order to make judgements and take decisions in everyday life concerning health care, disease prevention and health promotion to maintain or improve quality of life during the life course.

What is patient education and health literacy?

 · The effect of health literacy changes sign and is significant at 10% significance level, implying a higher level of health literacy ‘increases’ rather than ‘decreases’ the likelihood of having chronic diseases. The size of this effect is not negligible, about 1.8 percentage points.

What does health literacy mean in 2020?

Limited health literacy (HL—meaning literacy within the healthcare context), and limited English proficiency are common barriers to patient–physician communication. Patients with limited HL have been shown to have poor comprehension of physicians’ instructions, to ask few questions within the clinical encounter, and to more often report ...

How can I measure health literacy in a medical context?

Only six physicians could name a community resource to assist patients with low health literacy. Conclusion: Low health literacy is an unavoidable barrier to effective patient care for physicians across the country. If the full spectrum definition of health literacy is understood by physicians and carefully considered in the context of their ...

What information is excluded from a patient portal?

However, it also had to exclude behavioral health, protected minor visits, research records, business records, and other sensitive record content. The portal automatically downloads or excludes documents based on type or provider, says Meadows, who helped solidify a process for integrating the portal with the EHR.

What elements should be incorporated into a patient portal?

A robust patient portal should include the following features:Clinical summaries.Secure (HIPAA-compliant) messaging.Online bill pay.New patient registration.Ability to update demographic information.Prescription renewals and contact lens ordering.Appointment requests.Appointment reminders.More items...

What are the disadvantages of patient portals?

Even though they should improve communication, there are also disadvantages to patient portals....Table of ContentsGetting Patients to Opt-In.Security Concerns.User Confusion.Alienation and Health Disparities.Extra Work for the Provider.Conclusion.

How can the patient portal affect patient satisfaction?

Early studies of patient portals reported patient benefits including enhanced satisfaction, better relationships with their care providers, more efficient medication refills, and improved understanding of their health information [3,4,11,13-16].

What are the five main features of the new healthcare portal?

Five key features to look for in an EHR patient portalEasy to follow user interface. ... Messaging and communication. ... Registration. ... Scheduling. ... Enhanced security.

What is a patient portal link?

A patient portal is a secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection. Using a secure username and password, patients can view health information such as: Recent doctor visits. Discharge summaries.

What are the pros and cons of using a patient portal?

What are the Top Pros and Cons of Adopting Patient Portals?Pro: Better communication with chronically ill patients.Con: Healthcare data security concerns.Pro: More complete and accurate patient information.Con: Difficult patient buy-in.Pro: Increased patient ownership of their own care.

Are patient portals effective?

Patient Portal Outputs Results of patient engagement were mixed: portals in some studies did not cause statistically significant improvement, but patients in other studies reported that portals enabled better engagement in their care.

What are the advantages of using the patient portal?

Portals can increase patient loyalty. The ongoing relationship and communication that occurs outside of appointments encourages patients to feel cared for and to remain loyal to your practice. Increase your value. Patients value the easy access to information and direct communication that comes with portal use.

How do you improve patient portal?

Here are some ways to encourage patient enrollment:Include information about the patient portal on your organization's website.Provide patients with an enrollment link before the initial visit to create a new account.Encourage team members to mention the patient portal when patients call to schedule appointments.More items...•

Why do some patients fail to participate in the use of the patient portal?

The reason why most patients do not want to use their patient portal is because they see no value in it, they are just not interested. The portals do not properly incentivize the patient either intellectually (providing enough data to prove useful) or financially.

Why do you think downloading transmitting patient information from patient portal would be useful to the patient?

By using patient portals, patients can add the required reported information into their EHRs, and have the potential to not only facilitate workflow in the primary care practice but to improve their experience during the primary care visit.

What is low health literacy?

Low health literacy: a barrier to effective patient care. Low health literacy is an unavoidable barrier to effective patient care for physicians across the country. If the full spectrum definition of health literacy is understood by physicians and carefully considered in the context of their own practices, it is likely they would come to ...

Is communicating with physicians a part of health literacy?

Although communicating with physicians is a small component of the tasks that are incorporated in a definition of health literacy, it remains the most important aspect of this concept contributing to personal health.

Is health literacy a greater obstacle to providing health care than they previously considered?

If the full spectrum definition of health literacy is understood by physicians and carefully considered in the context of their own practices, it is likely they would come to the realization that health literacy is a greater obstacle to providing health care than they previously considered.

What is health literacy?

Health literacy (HL), the capacity of individuals to access, understand and use health information to make informed and appropriate health-related decisions, is recognized as an important concept in patient education and disease management.

Why is patient involvement important in health care?

This is especially true in the case of lifestyle-related diseases such as diabetes, which require extensive and ongoing patient self-care. Studies of diabetes patients have reported that patient's active involvement in visit communication is related to decreased functional limitations and improvement in metabolic control. 1–4

What is the Health Literacy Tool Shed?

The Health Literacy Tool Shed is an online database of health literacy measures, including their psychometric properties.

What is the survey of K-12 literacy, numeracy and science skills?

is the largest nationally representative and continuing assessment of what America’s students know and can do in various subject areas, including reading, math and science.

What is a patient experience survey?

Patient Experience Survey. Measuring Health Literacy. Different surveys measure people’s literacy, numeracy, and health literacy skills and their experiences with healthcare. You can use these studies for ideas about research and evaluation questions or as benchmarks for your own results.

How does literacy affect health care?

A number of factors impact health literacy including a patient’s receipt of appropriate written health communication materials, ability to accurately interpret written health-related information, and communication with providers. When patients receive written health communication materials that don’t match their reading level, patient education is not effective. 11 , 12 Additionally, when patients have low overall literacy skills but high verbal fluency, their verbal fluency can mask their inability to interpret written information. 9 Potential communication barriers between patients and health care providers created by low health literacy may lead to a variety of negative health outcomes for the patient. 11 , 13 For example, such communication barriers have been associated with patients being more likely to be hospitalized. 11 , 14 , 15

What are the factors that affect health literacy?

A number of factors impact health literacy including a patient’s receipt of appropriate written health communication materials, ability to accurately interpret written health-related information, and communication with providers.

What are the disparities in health literacy?

Some of the greatest disparities in health literacy occur among racial and ethnic minority groups from different cultural backgrounds and those who do not speak English as a first language. Results from the National Assessment of Adult Literacy demonstrated that Hispanic adults have the lowest average health literacy scores of all racial/ethnic groups, followed by black and then American Indian/Alaska Native adults. 27 People with low health literacy and limited English proficiency are twice as likely as individuals without these barriers to report poor health status. 31 One study found that 74% of Spanish-speaking patients have less-than-adequate health literacy as compared to 7% of English-speaking patients. 32 Cultural beliefs may also impact communication between patients and providers and affect a patient’s ability to follow a physician’s instructions. 33

What is health literacy?

Social and Community Context. Health Literacy is a key issue in the Health and Health Care domain. The U.S. Department of Health and Human Services (HHS) defines health literacy as “the degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.” 1 , ...

Why is it important to address low health literacy?

Improvements in health practice that address low health literacy are needed to reduce disparities in health status. As limited health literacy is common and may be difficult to recognize, “experts recommend that practices assume all patients and caregivers may have difficulty comprehending health information and should communicate in ways that anyone can understand.” 37 Examples include: simplifying communication; confirming comprehension for all patients to minimize risk of miscommunication; making the health care system easier to navigate; and supporting patient’s efforts to improve their health. 37

How many domains are there in the 2020 Social Determinants of Health topic area?

The Healthy People 2020 Social Determinants of Health topic area is organized into 5 place-based domains:

Is the terminology used in the summary consistent with the respective references?

i Terminology used in the summary is consistent with the respective references. As a result, there may be variability in the use of terms, for example, black versus African American.

How to improve health literacy?

There are many ways for you to take an active role in improving your health literacy. Many times, you have to be persistent in order to get results. Ask questions, spend time learning about your health condition and make sure you understand what’s going on with your body. You may have to ask doctors to repeat themselves. Keep pressing for information until you are comfortable with your level of understanding. Don’t be ashamed to ask the doctor to use simple, everyday language. If you still have questions about your healthcare, be persistent and keep searching for answers.

Why is health literacy important?

When you have a higher level of health literacy, you are more likely to enjoy better overall health outcomes. You may be able to save money and avoid unnecessary hospital visits from complications. If you have a solid grasp on healthcare knowledge, you can share what’s going on and offer a better explanation to your doctor. You and your medical team can work together to develop a plan of action. People who are comfortable talking and learning about healthcare topics are more confident in their ability to take better care of themselves on a daily basis.

What are some forms of communication for healthcare?

Many healthcare providers offer various forms of communication, including written materials, pictures, online patient portals and phone support. Multiple forms of communication can be especially helpful for appointment and medication refill reminders. Take advantage of all these resources.

How to keep track of healthcare providers?

Keep track of all the important contact information for your healthcare providers. It’s helpful to keep all this information in one, easily accessible place. Many people include this information in their health journal. This way, if you have questions about your healthcare you know which people to call and how to reach them.

What to ask for in a patient's notes?

Ask for all your instructions and other patient information to be delivered in typed notes. Typed notes are often easier to read than normal handwriting. It may be helpful to keep your typed notes with your health journal.

How to remember everything when you see your doctor?

Write down your questions before your arrive at medical appointments. This makes it easier for you to remember everything when you see your doctor or talk to your pharmacist. It may be helpful for you to keep a health journal, especially if you’re living with a chronic health condition. Health journals are a great place to write down your questions, medical appointments and health goals. You can also track how you feel on a daily basis. This is all important information for you to review with your doctor or pharmacist.

Can you record a doctor's exact words?

If you are an audio learner, ask your doctor if you can record your conversations, especially if they involve specific instructions. This way you can replay your doctor’s exact words from home. It’s very important that you always get permission from your doctors and nurses before recording any conversations to respect their privacy.

How does low literacy affect health?

According to HSS, low health literacy has a direct impact on health outcomes. Patients with low literacy rates are less likely to seek preventive care, less able to manage chronic conditions, and have a higher rate of hospitalization and use of emergency services.

What is health literacy?

Department of Health and Human Services (HSS), health literacy is “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”. For a patient to have proficient health literacy, they typically need basic literacy ...

Why are readmission rates so high?

Readmission rates are a concern for many hospitals, as admitting the same patient multiple times is costly, and, if readmission rates for the facility are higher than average, it can lead to penalties under the Centers for Medicaid and Medicare Services Hospital Readmissions Reduction Program ( HRRP ). As such, many organizations are continuously looking for ways to reduce readmission rates, including by assessing and addressing the connection between health literacy and hospital readmission.

How long does it take for a patient with low literacy to return to the hospital?

An analysis published in the Journal of Health Communication found patients with low literacy are close to 1.5 times more likely to return to the hospital or emergency department within 30 days than those with adequate literacy.

Why is it important to provide clear written materials with illustrations?

Provide Clear Written Materials with Illustrations. Written materials can help improve health management once a patient is discharged, but it is important that hospitals assess their written resources to ensure the language is simple and accessible to patients with different reading levels and medical knowledge.