HAN 455 Quiz 1 Flashcards
below basic literacy level
no more than most simple and concrete literacy skills
basic literacy level
can perform simple everyday literacy activities
intermediate literacy level
can perform moderately challenging literacy activities
proficient literacy level
can perform complex and challenging literacy activities
incidence
new # of cases
prevalence
all # of cases (new and old)
- for diseases like blood pressure/heart disease
y-axis
ordinate
x-axis
abscissa
people with higher risk of limited health literacy
elderly
poor
unemployed
those who did not finish high school
members of minority groups
recent immigrants to US who don’t speak English
born in US but English is 2nd language
red flags for lower literacy
frequently missed appointments
incomplete registration forms
non-compliance with medication
unable to name medications, explain
identifies pills by looking at them, not reading label
unable to give coherent, sequential history
ask fewer questions
lack of follow-through on tests or referrals
expectations for patients
prevention (eating, exercise, sunscreen, dental)
immunization
self assessment of health status (peak flow meter, glucose testing)
self-treatment (insulin adjustments)
health care use (when to go to clinic/ER, referrals and follow-up, insurance/medicare)
barrier to health literacy
expectations of patients are forever increasing, causing us to overlook certain aspects
the effects of poor health literacy
- a barrier to patients’ understanding of their diagnoses and treatments -> barrier to receiving high-quality care
- increased risk of hospitalization
- poor physical health and mental health scores
- lack of health insurance
- less frequent use of preventive services
- higher healthcare costs
solutions to health literacy
- pre-testing (simple standardized literacy tests - REALM, TOFHLA)
- SMOG
- suitability assessment of materials and the medicare/medicaid checklist
- newest vital signs
- teach back method
- ask 3 questions
- AHRQ toolkit
health literacy
a person’s capacity to learn about and understand basic health information and services, and to use these resources to promote one’s health and wellness
functional health literacy
the basic skills in reading and writing that are necessary to function effectively in everyday situations, broadly comparable with the content of “medical” health literacy