National Health Literacy Mapping to Inform Healthcare Policy

全国健康素养地图为医疗保健政策提供信息

基本信息

  • 批准号:
    8760512
  • 负责人:
  • 金额:
    $ 51.95万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2014
  • 资助国家:
    美国
  • 起止时间:
    2014-09-01 至 2018-04-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): Our study objective is to provide valid estimates of health literacy for every census block group in the U.S. and demonstrate the value of such a health literacy measure for informing healthcare research, policy and practice. Health literacy, or one's ability to obtain process and understand information needed to make health decisions, is considered not only a reflection of an individual's skills and abilities, but also how well health systems provide information and services. This concept therefore serves as an indicator of the quality, equity, and safety of public health and healthcare. Unlike many other indicators, however, health literacy is considered modifiable. Interventions utilizing health literacy 'best practices' have been shown to lead to improved health outcomes. Despite its promise, health literacy has rarely been included in policymaking. Health literacy is one of the most important, independent risk factors for hospital readmission. Strategies that incorporate health literacy principles have successfully reduced readmissions. This is particularly significant as the Centers for Medicaid & Medicare Services (CMS) recently began penalizing hospitals with adjusted readmission rates above the national average for acute myocardial infarction (AMI), heart failure (HF) and pneumonia. To date, the adjusted rates used by CMS include only medical comorbidity and age. While the purpose of the penalties is to promote quality of care and reduce costs, the lack of adjustment for health literacy places an undue burden on hospitals that serve patients who are at greatest risk for low health literacy and are more likely to struggle with self care activities. Adjusting for health literacy would ensure that penalties are fair and identify hospitals in greatest need of health literacy-informed initiatives. Through this study, we will demonstrate that a derived health literacy measure can be estimated for each of the 217,740 census block groups in the U.S. using the RAND predictive model. By linking health literacy estimates to a national cohort of ~300,000 Medicare beneficiaries, we will demonstrate the predictive strength of the estimate. We will then link the health literacy estimates to a national cohort of ~176,000 Medicare patients with AMI to examine the impact of health literacy on hospital readmissions for AMI. Finally, we will we will use the health literacy estimates to augment the CMS analytical models (clinical profiling shrinkage estimation and risk-adjustment) of adjusted AMI readmission rates. Our specific aims are to: 1a) Estimate and map the average health literacy score of each census block group in the United States, 1b) Examine the relationship between health literacy estimates and a composite of clinical endpoint outcomes (mortality, HF, AMI, stroke, end-stage renal disease) among ~300,000 Medicare beneficiaries, 2) Investigate the impact of health literacy estimates on 30-day readmission among a national cohort of ~176,000 Medicare patients with AMI and 3) Compare the risk standardized readmission rates with and without adjustment for the derived health literacy score among the national Medicare AMI cohort for hospitals across the United States.
描述(由申请人提供):我们的研究目标是为美国每个人口普查街区群体提供健康素养的有效估计,并证明这种健康素养措施对卫生保健研究、政策和实践的价值。健康知识,或

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Stacy C Bailey其他文献

A chatbot for hypertension self-management support: user-centered design, development, and usability testing.
用于高血压自我管理支持的聊天机器人:以用户为中心的设计、开发和可用性测试。
  • DOI:
    10.1093/jamiaopen/ooad073
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    2.1
  • 作者:
    Ashley C. Griffin;Saif S. Khairat;Stacy C Bailey;Arlene E Chung
  • 通讯作者:
    Arlene E Chung

Stacy C Bailey的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Stacy C Bailey', 18)}}的其他基金

Supporting Transitions to Primary care among Under-resourced, Postpartum women: The STEP-UP
支持资源不足的产后妇女向初级保健过渡:STEP-UP
  • 批准号:
    10637553
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
Long-Term Impact of the COVID-19 Pandemic on Self-Management of Chronic Conditions: The C3 Study
COVID-19 大流行对慢性病自我管理的长期影响:C3 研究
  • 批准号:
    10630081
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
Long-Term Impact of the COVID-19 Pandemic on Self-Management of Chronic Conditions: The C3 Study
COVID-19 大流行对慢性病自我管理的长期影响:C3 研究
  • 批准号:
    10342940
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
Promoting Preconception Care and Diabetes Self-Management among Reproductive-Aged Women with Diabetes: The PREPARED Trial
促进育龄糖尿病女性的孕前护理和糖尿病自我管理:PREPARED 试验
  • 批准号:
    10463764
  • 财政年份:
    2021
  • 资助金额:
    $ 51.95万
  • 项目类别:
Promoting Preconception Care and Diabetes Self-Management among Reproductive-Aged Women with Diabetes: The PREPARED Trial
促进育龄糖尿病女性的孕前护理和糖尿病自我管理:PREPARED 试验
  • 批准号:
    10654663
  • 财政年份:
    2021
  • 资助金额:
    $ 51.95万
  • 项目类别:
Promoting Preconception Care and Diabetes Self-Management among Reproductive-Aged Women with Diabetes: The PREPARED Trial
促进育龄糖尿病女性的孕前护理和糖尿病自我管理:PREPARED 试验
  • 批准号:
    10297609
  • 财政年份:
    2021
  • 资助金额:
    $ 51.95万
  • 项目类别:
A Universal Medication Schedule to Promote Adherence to Complex Drug Regimens
促进遵守复杂药物治疗方案的通用用药时间表
  • 批准号:
    9756128
  • 财政年份:
    2015
  • 资助金额:
    $ 51.95万
  • 项目类别:
A Universal Medication Schedule to Promote Adherence to Complex Drug Regimens
促进遵守复杂药物治疗方案的通用用药时间表
  • 批准号:
    9143629
  • 财政年份:
    2015
  • 资助金额:
    $ 51.95万
  • 项目类别:
A Universal Medication Schedule to Promote Adherence to Complex Drug Regimens
促进遵守复杂药物治疗方案的通用用药时间表
  • 批准号:
    9307664
  • 财政年份:
    2015
  • 资助金额:
    $ 51.95万
  • 项目类别:
National Health Literacy Mapping to Inform Healthcare Policy
全国健康素养地图为医疗保健政策提供信息
  • 批准号:
    9101929
  • 财政年份:
    2014
  • 资助金额:
    $ 51.95万
  • 项目类别:

相似海外基金

Non-invasive coronary thrombus imaging to define the cause of acute myocardial infarction
无创冠状动脉血栓显像可明确急性心肌梗塞的病因
  • 批准号:
    MR/Y009770/1
  • 财政年份:
    2023
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Fellowship
Impact of COVID-19 pandemic on pathophysiology of acute myocardial infarction and emergency cardiovascular care system
COVID-19大流行对急性心肌梗死病理生理学和心血管急诊系统的影响
  • 批准号:
    23K15160
  • 财政年份:
    2023
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Extreme Heat and Acute Myocardial Infarction: Effect Modifications by Sex, Medical History, and Air Pollution
酷热和急性心肌梗塞:性别、病史和空气污染的影响
  • 批准号:
    10709134
  • 财政年份:
    2023
  • 资助金额:
    $ 51.95万
  • 项目类别:
Development of a multi-RNA signature in blood towards a rapid diagnostic test to robustly distinguish patients with acute myocardial infarction
开发血液中的多 RNA 特征以进行快速诊断测试,以强有力地区分急性心肌梗死患者
  • 批准号:
    10603548
  • 财政年份:
    2023
  • 资助金额:
    $ 51.95万
  • 项目类别:
Effectiveness of Strategies to Improve Outcomes after Hospitalization for Acute Myocardial Infarction in Older Adults
改善老年人急性心肌梗死住院后预后的策略的有效性
  • 批准号:
    10576349
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
Establishment of the emergency transport decision making program for patients with acute myocardial infarction using artificial intelligence (AI)
利用人工智能(AI)建立急性心肌梗死患者紧急转运决策方案
  • 批准号:
    22K09185
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Evaluation of effect of intracoronary supersaturated oxygen therapy on inhibition of no reflow phenomenon in acute myocardial infarction
冠状动脉内过饱和氧治疗抑制急性心肌梗死无复流现象的效果评价
  • 批准号:
    22K08135
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Developing Federated Learning Strategies for Disease Surveillance Using Cross-Jurisdiction Electronic Medical Records without Data Sharing: With Applications to Acute Myocardial Infarction, Hypertension, and Sepsis Detection
使用跨辖区电子病历(无需数据共享)开发疾病监测联合学习策略:在急性心肌梗塞、高血压和脓毒症检测中的应用
  • 批准号:
    468573
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Operating Grants
Effectiveness of Strategies to Improve Outcomes after Hospitalization for Acute Myocardial Infarction in Older Adults
改善老年人急性心肌梗死住院后预后的策略的有效性
  • 批准号:
    10339915
  • 财政年份:
    2022
  • 资助金额:
    $ 51.95万
  • 项目类别:
The Personalising Acute Myocardial Infarction Care to improve Outcomes (PAMICO Project)
个性化急性心肌梗死护理以改善结果(PAMICO 项目)
  • 批准号:
    nhmrc : 2005797
  • 财政年份:
    2021
  • 资助金额:
    $ 51.95万
  • 项目类别:
    Partnership Projects
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了