Nancy A. Hardie|Kelly A. Kyanko|Susan H. Busch|Anthony LoSasso|Regina Levin
Health Literacy and Health Care Spending and Utilization in a Consumer-Driven Health Plan
Robert Wood Johnson Foundation|Yale University|University of Illinois at Chicago
examined health literacy health care spending utilization linking responses three health literacy questions 2006 claims data enrollees new consumerdriven health plans n 4130 better health literacy four health literacy measures three item responses sum associated lower total health care spending specifically lower emergency department inpatient admission spending p 05 similarly fewer inpatient admissions emergency department visits associated higher adequate health literacy scores better selfreports ability read learn medical conditions pvalue 05 members lower health literacy scores appear use services appropriate advanced health conditions although office visit rates similar across range health literacy scores