دورية أكاديمية
Health Literacy and Hospital Length of Stay: An Inpatient Cohort Study.
| العنوان: | Health Literacy and Hospital Length of Stay: An Inpatient Cohort Study. |
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| المؤلفون: | Jaffee EG; Psychiatry, Massachusetts General Hospital/McLean Hospital, Boston, Massachusetts, USA., Arora VM; Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA., Matthiesen MI; Medicine-Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA., Meltzer DO; Section of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA., Press VG; Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA. vpress@medicine.bsd.uchicago.edu. |
| المصدر: | Journal of hospital medicine [J Hosp Med] 2017 Dec; Vol. 12 (12), pp. 969-973. Date of Electronic Publication: 2017 Sep 20. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 101271025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-5606 (Electronic) Linking ISSN: 15535592 NLM ISO Abbreviation: J Hosp Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Hoboken, NJ : Wiley Original Publication: Hoboken, NJ : John Wiley & Sons, 2006- |
| مواضيع طبية MeSH: | Health Literacy* , Hospitals*, Inpatients/*statistics & numerical data , Length of Stay/*statistics & numerical data, Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Sex Factors ; Socioeconomic Factors ; Surveys and Questionnaires |
| مستخلص: | Background: Associations between low health literacy (HL) and adverse health outcomes have been well documented in the outpatient setting; however, few studies have examined associations between low HL and in-hospital outcomes. Objective: To compare hospital length of stay (LOS) among patients with low HL and those with adequate HL. Design: Hospital-based cohort study. Setting: Academic urban tertiary-care hospital. Patients: Hospitalized general medicine patients. Measurements: We measured HL using the Brief Health Literacy Screen. Severity of illness and LOS were obtained from administrative data. Multivariable linear regression controlling for illness severity and sociodemographic variables was employed to measure the association between HL and LOS. Results: Among 5540 participants, 20% (1104/5540) had low HL. Participants with low HL had a longer average LOS (6.0 vs 5.4 days, P < 0.001). Low HL was associated with an 11.1% longer LOS (95% confidence interval [CI], 6.1%-16.1%; P < 0.001) in multivariate analysis. This effect was significantly modified by gender (P = 0.02). Low HL was associated with a 17.8% longer LOS among men (95% CI, 10.0%-25.7%; P < 0.001), but only a 7.7% longer LOS among women (95% CI, 1.9%-13.5%; P = 0.009). Conclusions: In this single-center cohort study, low HL was associated with a longer hospital LOS. The findings suggest that the adverse effects of low HL may extend into the inpatient setting, indicating that targeted interventions may be needed for patients with low HL. Further work is needed to explore these negative consequences and potential mitigating factors. (© 2017 Society of Hospital Medicine) |
| معلومات مُعتمدة: | K23 HL118151 United States HL NHLBI NIH HHS; R25 MH094612 United States MH NIMH NIH HHS |
| تواريخ الأحداث: | Date Created: 20171214 Date Completed: 20180725 Latest Revision: 20220330 |
| رمز التحديث: | 20221213 |
| DOI: | 10.12788/jhm.2848 |
| PMID: | 29236095 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1553-5606 |
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| DOI: | 10.12788/jhm.2848 |