James D Stephenson, Prabhat Totoo, David F Burke, Jürgen Jänes, Pedro Beltrao, Maria J Martin
ProtVar: mapping and contextualizing human missense variation
Nucleic acids research
experts recommended adoption health literacy universal precautions whereby health care providers make health information easier understand confirm everyones comprehension reduce difficulty healthrelated tasks us department health human services selected three health literate practices track progress adoption health literacy universal precautions study sought examine whether increase delivery health literate care whether recommendations health literacy universal precautions followed study used trend multiple regression analyses data 2011 2014 medical expenditure panel survey national household survey proportion adults us reported receiving health literate care increased 2011 2014 fell far short health literacy universal precautions recommendations delivering health literate care everyone 2014 70 population reported providers always gave instructions easy understand 29 asked teachback instructions 17 offered help forms older less educated racial ethnic minority group members likely report receiving health literate care advantaged groups people perceived health mental health fair poor less likely report receiving health literate care failure adopt health literacy universal precautions face high prevalence limited health literacy general population may perpetuate adverse health outcomes costly society greater efforts made increase providers health literacy skills particularly serve populations likely limited health literacy including poor health study shows health care providers always check instructions clear enough patients understand even fewer providers always offered help filling forms people older less educated members racial ethnic minority groups likely asked confirm understanding offered help forms patients said provider easy understand checked understanding offered help forms 2014 2011