The costs of limited health literacy: a systematic review.

The costs of limited health literacy: a systematic review.
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DOI:
10.1007/s00038-009-0058-2
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发表时间:
2009
影响因子:
4.6
通讯作者:
Bruegger, Urs
Bruegger, Urs
中科院分区:
医学3区
文献类型:
--
作者:
Eichler, Klaus;Wieser, Simon;Bruegger, Urs

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总结有关以下方面的证据:(1) 有限健康素养 (HL) 的成本和 (2) 改善有限健康素养的干预措施的成本效益。我们进行了系统审查,搜索电子数据库和其他信息资源。我们纳入了 HL 结果的观察性研究和干预性研究。我们纳入了低 HL 高风险人群和 (1) 糖尿病或 (2) 高脂血症患者。我们检索了 2,340 篇论文,并纳入 10 项研究进行分析。有限 HL 的患病率相当高(范围 34-59%)。在卫生系统层面,有限HL的额外费用每年占医疗保健总费用的3%至5%。在患者层面,与充分 HL 患者相比,有限 HL 患者每年的额外支出为 143 美元至 7,798 美元。关于改善有限 HL 的干预措施的成本效益的数据很少。有限 HL 的成本可能很高,但检索到的研究很少,而且结果参差不齐。
To summarize evidence about (1) the costs of limited health literacy (HL) and (2) the cost-effectiveness of interventions to improve limited HL. We performed a systematic review searching electronic databases and additional information resources. We included observational studies and interventional studies with HL-outcomes. We included populations at high risk for low HL and patients with (1) diabetes mellitus or (2) hyperlipidemia. We retrieved 2,340 papers and included 10 studies for analysis. The prevalence of limited HL is considerable (range 34–59%). On the health system level, the additional costs of limited HL range from 3 to 5% of the total health care cost per year. On the patient level, the additional expenditures per year per person with limited HL compared to persons with adequate HL range from US $143 to 7,798. Data on the cost-effectiveness of interventions to improve limited HL are scarce. The costs of limited HL may be substantial, but few studies were retrieved and the results are heterogeneous.
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