scholarly journals Is Low Health Literacy Associated With Increased Emergency Department Utilization and Recidivism?

2014 ◽  
Vol 21 (10) ◽  
pp. 1109-1115 ◽  
Author(s):  
Richard T. Griffey ◽  
Sarah K. Kennedy ◽  
Lucy McGownan ◽  
Melody Goodman ◽  
Kimberly A. Kaphingst
Keyword(s):  
Emergency Department ◽  
Health Literacy ◽  
Emergency Department Utilization ◽  
Low Health Literacy

Health Information Preferences of Parents in a Pediatric Emergency Department

2017 ◽  
Vol 57 (5) ◽  
pp. 519-527 ◽  
Author(s):  
Adam M. Drent ◽  
David C. Brousseau ◽  
Andrea K. Morrison
Keyword(s):  
Emergency Department ◽  
Health Literacy ◽  
Health Information ◽  
Qualitative Interviews ◽  
Signs And Symptoms ◽  
Pediatric Emergency ◽  
General Information ◽  
Education Material ◽  
Low Health Literacy ◽  
Health Literacy Level

Parents of children seeking nonurgent care in the emergency department completed surveys concerning media use and preferences for health education material. Results were compiled using descriptive statistics, compared by health literacy level with logistic regression, adjusting for race/ethnicity and income. Semistructured qualitative interviews to elicit reasons for preferences, content preference, and impact of health information were conducted and analyzed using content analysis. Surveys (n = 71) showed that despite equal access to online health information, parents with low health literacy were more likely to use the internet less frequently than daily ( P < .01). Surveys and interviews (n = 30) revealed that health information will be most effective when distributed by a health care professional and must be made available in multiple modalities. Parents requested general information about childhood illness, including diagnosis, treatment, and signs and symptoms. Many parents believed that appropriate health information would change their decision-making regarding seeking care during their child’s next illness.

scholarly journals Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness

2014 ◽  
Vol 14 (5) ◽  
pp. 505-509 ◽  
Author(s):  
Andrea K. Morrison ◽  
Ruben Chanmugathas ◽  
Marilyn M. Schapira ◽  
Marc H. Gorelick ◽  
Raymond G. Hoffmann ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Literacy ◽  
Febrile Illness ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Low Health Literacy

Patient health literacy and the receipt of opioids in the emergency department

2019 ◽  
Vol 15 (4) ◽  
pp. 267-270
Author(s):  
Joseph A. Dayaa, MS ◽  
Montika Bush, PhD, MS ◽  
Natalie L. Richmond, BA ◽  
Lewis S. Nelson, MD ◽  
Timothy F. Platts-Mills, MD, MSc
Keyword(s):  
Emergency Department ◽  
Health Literacy ◽  
Formal Education ◽  
Opioid Use ◽  
Cross Sectional ◽  
Opioid Prescription ◽  
Low Health Literacy ◽  
Percent Difference ◽  
Patient Health ◽  
To Receive

Objective: Assess relationships between patient health literacy and formal education and use of opioids during and following an emergency department (ED) visit.Design: Prospective, cross-sectional study.Setting: Academic ED.Participants: Adults aged ≥ 60 years presenting to the ED with musculoskeletal pain.Main outcome measures: Opioid use during and after an ED visit.Results: In a sample of 136 patients, patients with low health literacy were more likely to receive an opioid in the ED than patients with high health literacy (70 percent vs 52 percent; 18 percent difference, 95% confidence interval [CI]: –1 percent, 35 percent), receive an opioid prescription (63 percent vs 44 percent; 19 percent difference, 95% CI: 1 percent, 37 percent), and take opioids during the week following the ED visit (48 percent vs 29 percent; 18 percent difference, 95% CI: 0 percent, 36 percent).Conclusions: A greater proportion of older adults receiving ED care for musculoskeletal pain with low health literacy receive and use opioids during and following an ED visit.

scholarly journals The Relationship Between Parent Health Literacy and Pediatric Emergency Department Utilization: A Systematic Review

2013 ◽  
Vol 13 (5) ◽  
pp. 421-429 ◽  
Author(s):  
Andrea K. Morrison ◽  
Matthew P. Myrvik ◽  
David C. Brousseau ◽  
Raymond G. Hoffmann ◽  
Rachel M. Stanley
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Health Literacy ◽  
Pediatric Emergency ◽  
Emergency Department Utilization ◽  
Pediatric Emergency Department ◽  
Parent Health ◽  
The Relationship

Assessment of a multi-center tele-urgent care program to decrease emergency department referral rates in the Veterans Health Administration

2021 ◽  
pp. 1357633X2110248
Author(s):  
Charlie M Wray ◽  
Myla Junge ◽  
Salomeh Keyhani ◽  
Janeen E Smith
Keyword(s):  
Emergency Department ◽  
Emergency Department Visit ◽  
Care Program ◽  
Urgent Care ◽  
Emergency Department Utilization ◽  
Emergency Department Care ◽  
Referral Rates ◽  
Care Assessment ◽  
The Impact ◽  
Care Evaluation

The use of emergency departments for non-emergent issues has led to overcrowding and decreased the quality of care. Telemedicine may be a mechanism to decrease overutilization of this expensive resource. From April to September 2020, we assessed (a) the impact of a multi-center tele-urgent care program on emergency department referral rates and (b) the proportion of individuals who had a subsequent emergency department visit within 72 h of tele-urgent care evaluation when they were not referred to the emergency department. We then performed a chart review to assess whether patients presented to the emergency department for the same reason as was stated for their tele-urgent care evaluation, whether subsequent hospitalization was needed during that emergency department visit, and whether death occurred. Among the 2510 patients who would have been referred to in-person emergency department care, but instead received tele-urgent care assessment, one in five (21%; n = 533) were subsequently referred to the emergency department. Among those not referred following tele-urgent care, 1 in 10 (11%; n = 162) visited the emergency department within 72 h. Among these 162 individuals, most (91%) returned with the same or similar complaint as what was assessed during their tele-urgent care visit, with one in five requiring hospitalization (19%, n = 31) with one individual (0.01%) dying. In conclusion, tele-urgent care may safely decrease emergency department utilization.

scholarly journals Mental health, compliance with measures and health prospects during the COVID-19 epidemic: the role of health literacy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lize Hermans ◽  
Stephan Van den Broucke ◽  
Lydia Gisle ◽  
Stefaan Demarest ◽  
Rana Charafeddine
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Health Literacy ◽  
Prevalence Ratio ◽  
Physical Distance ◽  
Poor Mental Health ◽  
Infection Prevalence ◽  
Cross Sectional ◽  
Normal Life ◽  
Low Health Literacy

Abstract Background The importance of health literacy in dealing with the COVID-19 epidemic has been emphasized but scarcely addressed empirically. In this study, the association of health literacy with mental health, compliance with COVID-19 preventive measures and health prospects was assessed in a Belgian context. Methods Data were extracted from the third of a series of cross-sectional online COVID-related surveys (n = 32,794). Data collection took place for 1 week starting the 28th of May 2020. People residing in Belgium and aged 18 years or older could participate. Data were collected on sociodemographic background, health literacy, multimorbidity, mental health (depression, anxiety, sleeping disorder, vitality), knowledge about COVID-19, compliance with COVID-19 measures (hygiene, physical distance, covering mouth and nose on public transport and in places where physical distance cannot be respected), and health prospects (risk for health when returning to normal life and possibility of infection). Prevalence Ratio (PR) of poor mental health, non-compliance with the measures and health prospects in relation to health literacy were calculated using Poisson regressions. Results People showing sufficient health literacy were less likely to suffer from anxiety disorders (PR = 0.47, 95% CI = [0.42–0.53]), depression (PR = 0.46, 95% CI = [0.40–0.52]) and sleeping disorders (PR = 0.85, 95% CI = [0.82–0.87]), and more likely to have optimal vitality (PR = 2.41, 95% CI = [2.05–2.84]) than people with low health literacy. They were less at risk of not complying with the COVID-19 measures (PR between 0.60 and 0.83) except one (covering mouth and nose in places where physical distance cannot be respected). Finally, they were less likely to perceive returning to normal life as threatening (PR = 0.70, 95% CI = [0.65–0.77]) and to consider themselves at risk of an infection with COVID-19 (PR = 0.75, 95% CI = [0.67–0.84]). The associations remained significant after controlling for COVID-19 knowledge and multimorbidity. Conclusions These results suggest that health literacy is a crucial factor in managing the COVID-19 epidemic and offer a perspective for future studies that target health literacy in the context of virus outbreaks.

Sign in / Sign up

Export Citation Format

Share Document