Samuel Bailey|Gang Fang|Izabela E. Annis|Rachel O’Conor|Michael K. Paasche?Orlow|Michael S. Wolf
Health literacy and 30-day hospital readmission after acute myocardial infarction
University of North Carolina Health Care|University of North Carolina Health Care|University of North Carolina Health Care|Northwestern University|Boston University|Northwestern University
assess validity predictive model health literacy examine relationship derived health literacy estimates 30day hospital readmissions acute myocardial infarction amiretrospective cohort studya national institute aging nia study cohort 696 adult englishspeaking primary care patients aged 5574 years used assess validity derived health literacy estimates claims 7733 medicare beneficiaries hospitalised ami 2008 north carolina illinois used investigate association health literacy estimates 30day hospital readmissionsthe nia cohort administered 3 common health literacy assessments newest vital sign test functional health literacy adults rapid estimate adult literacy medicine health literacy estimates census block group level derived via predictive model 30day readmissions measured medicare claims data using validated algorithmfair agreement found derived estimates inperson literacy assessments pearson correlation coefficients 038051 scores 038040 medicare enrollees basic literacy according derived health literacy estimates 18 lower risk 30day readmission rr082 95 ci 073 092 21 lower incidence rate 30day readmission irr079 95 ci 068 087 patients basic basic literacy adjusting demographic clinical characteristics risk 30day readmission 12 lower p003 incidence rate 16 lower p001 patients basic literacyhealth literacy measured predictive model found significant independent predictor 30day readmissions modifiable risk factor evidencebased solutions health literacy considered readmission reduction efforts