Health Literacy Strategies

A healthcare disparity is a limitation of healthcare availability, usually among a certain racial or socioeconomic demographic (Black, 2013). However, there are disparities that don’t have a specific demographic and affect the entirety of the United States, which are potentially most detrimental to the overall health of our country. One of those disparities is health literacy, or the exchange of complex information from the healthcare provider to the patient or client (Black, 2013). The lack of health literacy in America poses as a problem, especially with the chronically ill. Without proper knowledge of how to treat their illness and what to do when the disease process worsens or ameliorates can potentially cause millions of unnecessary hospitalizations,

Texas is experiencing a health care delivery crisis with limited resources and a rapidly growing population with complex health needs. Providing quality, affordable access to health care requires a strong health care provider workforce. The cost of the Medicaid program and the lack of adequate primary care access for this population is increasing at a rapid rate. It is imposing a substantial financial burden on Texas residents.

Health literacy has been demarcated as the measurement of the individual’s capacity to obtain, understand and process simple health information. It is needed to make satisfactory health decisions and determine services needed to treat or prevent illness. Health literacy requires knowledge from many topics, comprising the patient’s own body, appropriate conducts towards healthy results and the difficulties to understand the health system. It is influenced by many conditions such as our communication skills, age, socio-economic status, and cultural background, past experiences, educational level and mental health status (U.S. Department of

I really enjoyed reading your post. This is a good example of how poor health literacy can have a detrimental effect on a patient’s health. In a journal article the authors stated that health literacy is a strong predictor of a person’s health status (Schwatz et al., 2013). As seen in the AMA video and in the example that given here, it is clear that health literacy has a direct effect on one’s ability to make important healthcare decisions. Your example also reminds me that fear may play a big role in health literacy and one’s ability to make healthcare decisions. Making healthcare decision for yourself at time can be a daunting task no matter the culture, level or education, of background. It is so important that providers consider

It has been six years since the Affordable Care Act has been implemented into the United States healthcare system. As the pieces and provisions of this monumental federal statute become understood and executed, it is transforming the demand for care. Prior to the ACA, a significant number of Americans were marginalized and unable to obtain coverage. This system was faced increasing healthcare costs, placing greater financial strain to everyday Americans, businesses, and public health insurance systems. The ACA did not only help ensure health coverage for all (almost

Health literacy has been a problem with our patients. The most vulnerable populations are the elderly, people with low-income levels, those with limited education, non-native speakers of English, those with chronic mental and physical health conditions, minority, and immigrant populations. Nurses have a great role in helping our patients succeed in understanding their health conditions. Nurses can be of great help in promoting health literacy. Sykes, Wills, Rowlands and Popple (2013) defined health literacy as the ability of individuals to access, understand, appraise, and apply health information. The three domains of health literacy, according to Bennett and Perkins (2012) as adapted from the (WHO) (1998) are functional health literacy, interactive literacy, and critical health literacy. Functional health literacy is basic reading and writing skills to be able to function effectively in a health context. Interactive health literacy is the used of more advanced cognitive and literacy skills to participate in health care. Critical health literacy is the ability to analyze critically and to use information to participate in action, to overcome structural barriers to health (p.14). The U.S. Department of Education published the findings of the National Assessment of Adult Literacy conducted in 2003. The result showed that 36 % of adults have basic or below-basic skills for dealing with health material, 52 %

Healthcare in the United States is in a crisis situation. Healthcare costs are rising to the point where people are required to pay their health insurance premiums and deductibles over having enough money to cover groceries to feed the family. It seems our government is at odds in terms of the success with the Affordable Care Act and the outcomes we are witnessing from its’ implementation in our country. Many Americans understand the incentives of having healthcare insurance coverage and the benefits it can provide. With so many more individuals entering the healthcare insurance marketplace due to the guidelines of the Affordable Care Act we also see an impact to the supply and demand of healthcare availability and healthy outcomes.

A big problem today in health care for many people is health literacy. Health literacy is when a person is able to understand and process medical information they are given. Having low health literacy can affect how a person understands, and uses information about their health and health services (Batterham 2016). Low health literacy rates lead to big issues in communication. Limited literacy impacts health behaviors, decisions, and ultimately outcomes. Many people have low health literacy which leads to bad health outcomes. Research shows that low literacy is linked with the lower likelihood of people being able to manage their own health conditions, and less access to health care services which can lead to poor health outcomes. There are many reasons people have low health literacy, A lack of formal education and poor reading ability aren't the only causes of low health literacy. Low health literacy is associated with a number of things like poor engagement in health services, health knowledge, and overall health status. People with low health literacy may feel ashamed and try to hide it from professionals and family members. Most health care professionals are unaware of the level of health literacy their patient has. (Greenhalgh 2015) There is a need to identify individual health literacy needs and address how to work on solutions to benefit them and whole groups of people. Differences in health literacy

Since the passage of the ACA, a total of 14.1 million adults have acquired health insurance coverage, however, a distinction must be made; the ACA was created to expand health insurance, not to better health care (Office of The Assistant Secretary For Planning and Evaluation, 2015). Texas being the number one state in all of the U.S. with "more than 5 million Texans" (19% of the population) uninsured in 2014 (this was a decrease of 700,000 individuals in 2013) would be expected to hold great support in order to lower the high rates of the uninsured (Walters, 2015). In order to understand the impact that the ACA has had on the U.S., but especially in Texas, it is important to look at what state officials say concerning the reform and

Government influences. The Patient Protection and Affordable Care Act (ACA) is a comprehensive approach to tackle some the challenges in the healthcare industry. The first issue addressed by the legislation was the disparity in access to healthcare. The act created healthcare exchanges, which created the opportunity for previously uninsured Americans to obtain health insurance and access to care(U.S. Department of Health and Human Services, 2014). Researchers estimate the new consumer base has significant chronic health issues that were untreated, as the uninsured population did not have access to healthcare providers (The Henry J. Kaiser Family Foundation, 2011). The newly insured demographic may generate a new market opportunity for the clinic.

These special education children have now added to the economic burden of CVD (Zazove & Doukas, 1994). Health literacy plays a major issue (Baker, 2006) in the DHOH population, as the huge cost on the economy health expenditures is relevant to low health literacy (Laureate Education, Inc, 2011). Health literacy is a term used to define the ability to act upon medical or health information independently (Laureate Education, Inc, 2011). Likewise, the ability to completely complete demographic forms, commitment to follow up appointments, comprehend basic medical procedure, and medication compliance are signs of a person with health literacy (Laureate Education, Inc, 2011). According to CDC (2011), " the degree to which an individual can obtain, communicate, process, and understand basic health information and services to make appropriate health decisions" (p. 1). Therefore, the potential health consequence of low health literacy as it associates with CVD, apart from an increase chance of accidental death, is the rise in hospitalizations (Andrus & Roth, 2002). An increase in hospitalization increases the chance of miscommunication, barriers in cultural gaps contrition, and insufficient interpreter translations, among patients and doctors. Two decades of attention in the health care accessibility rights of DHOH

What if every other person that received help from a healthcare provider left the health facility and did not comply with anything the provider told them? The patient did not take the medication as directed, if at all, did not follow-up in 2 weeks to ensure adequate treatment and never improved, or did not care for their surgical wound, leading them to being hospitalized for sepsis. What is the point in going to seek help, if the patient is not going to do what it takes to improve? As emphasized in the American Medical Association (AMA) video, nearly one-half of Americans do not have the skills to overcome the barriers to health literacy (2010). “Health literacy is the ability to read, understand, and act on health information.” (AMA, 2010) Taking this into consideration, who is to blame, the patient who did nothing the provider told them to, or the provider who did not ensure understanding of the information given to the patient nor emphasize the importance of compliance and risks? Patients do not visit healthcare facilities to cause themselves more confusion and continued suffering, they are seeking advice and assistance, trusting that the provider will be able to deliver care in the most appropriate manner no matter the circumstances. Although many of these health literacy barriers are out of the provider’s control, such as the inability to read or memory impairment, this does not denote that there are not many ways to overcome

The problems associated with the health literacy have been identified by the researchers in the last ten years. They came to know the role played by it in the medical as well as the individual self care by the comprehension of information related to health and the outcomes related to it (Carolyn Speros, 2004).

Health literacy is both a consumer and public healthcare issue. As a health care provider, it is not only my responsibility to ensure that you understand your health and what is going on

Health literacy is an essential determinant of health. Health literacy is the degree in which people have the ability to obtain process and understand fundamental health services and information in order to make informed health decisions throughout different phases of life. Patients who are better educated and informed about their options and who understand the evidence behind certain methodologies may have better health outcomes. On the other hand, low health literacy leads to many health problems. In fact, it seems to be the “single biggest cause of poor health outcomes” (Kickbusch 208). Low health literacy inhibits self-advocacy in health care settings. Patients with limited literacy cannot actively participate in health-related decisions