Stephanie MacLeod|Shirley Musich|S. Gulyas|Yan Cheng|Rifky Tkatch|Diane Cempellin|Gandhi R. Bhattarai|Kevin Hawkins|Charlotte S. Yeh
The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults
Optum (United States)|Optum (United States)|Optum (United States)|Optum (United States)|Optum (United States)|Optum (United States)|Optum (United States)|AARP
inadequate health literacy hl associated impaired healthcare choices leading poor qualityofcare primary purpose estimate prevalence inadequate hl among two populations aarp medicare supplement insureds sicker healthier populations identify characteristics inadequate hl describe impact patient satisfaction preventive services healthcare utilization expenditures surveys mailed insureds 10 states multivariate regression models used identify characteristics adjust outcomes among respondents n 7334 23 16 sicker healthier insureds respectively indicated inadequate hl characteristics inadequate hl included male gender older age comorbidities lower education inadequate hl associated lower patient satisfaction lower preventive service compliance higher healthcare utilization expenditures inadequate hl common among older adults poorer health compromising health outcomes thus may benefit expanded educational additional care coordination interventions