Health literacy and the risk of hospital admission
Health literacy and the risk of hospital admission
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DOI：
10.1046/j.1525-1497.1998.00242.x
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发表时间：
1998-12-01
影响因子：
5.7
通讯作者：
Clark, WS
中科院分区：
文献类型：
--
作者：
Baker, DW;Parker, RM;Clark, WS
目的：探讨患者素养与住院之间的关系。设计：磷酸盐队列研究。设置：城市公立医院。方法：共有979名急诊科患者参加了保健素养研究，并完成了成人功能健康素养测验的入院访谈和识字测试。其中958人(97.8%)有1994年和1995年的电子病历。测量和主要结果：1994年至1995年格雷迪纪念医院的入院人数由医院信息系统决定。我们使用多元Logistic回归来确定功能性健康素养不足与住院之间的独立关联。在1994至1995年间，文化程度不足的患者住院的可能性是文化程度足够的患者的两倍(31.5%对14.9%，p
OBJECTIVE:To determine the association between patient Literacy and hospitalization.DESIGN: Phospective cohort study.SETTING: Urban public hospital.PATIENTS:A total of 979 emergency department patients who participated in the Literacy in Health Care study and had completed an intake interview and literacy testing with the Test of Functional Health Literacy in Adults were eligible for this study. Of these, 958 (97.8%) had an electronic medical record available far 1994 and 1995.MEASUREMENTS AND MAIN RESULTS: Hospital admissions to Grady Memorial Hospital during 1994 and 1995 were determined by the hospital information system. We used multivariate logistic regression to determine the independent association between inadequate functional health literacy and hospital admission. Patients with inadequate literacy were twice as likely as patients with adequate literacy to be hospitalized during 1994 and 1995 (31.5% vs 14.9%, p