Emilie Zuercher|Ibrahima Diatta|Bernard Burnand|Isabelle Peytremann?Bridevaux
Health literacy and quality of care of patients with diabetes: A cross-sectional analysis
Institute of Social and Preventive Medicine|University of Lausanne|Institute of Social and Preventive Medicine|University of Lausanne|Institute of Social and Preventive Medicine|University of Lausanne|Institute of Social and Preventive Medicine|University of Lausanne
limited health literacy hl may lead poor health outcomes inappropriate healthcare use particularly patients chronic diseases aimed assess association functional hl fhl quality care measured process outcomeofcare indicators patients diabetesthis crosssectional study used data 2013 codiabvd cohort followup included noninstitutionalised adults diabetes canton vaud switzerland using selfadministered questionnaires collected patients characteristics processes annual hba1c check lipid profile urine test foot examination influenza vaccination eye examination 24 months physical activity diet recommendations outcomes care hba1c knowledge hba1c value sf12 addqol pacic selfefficacy single validated screening question assessed fhl unadjusted adjusted regression analyses performedof 381 patients 525 95ci 475575 407 95ci 357456 68 95ci 4394 reported high medium poor fhl respectively significant associations found two seven outcomes care lower selfefficacy scores associated medium poor fhl adjusted 06 95ci 09 02 18 95ci 25 12 respectively lower sf12 mental scores associated poor fhl adjusted 84 95ci 125 42this study found outcomes care associated fhl exploration impact limited hl quality care indicators help tailor initiatives patients providers side improve diabetes care