Functional health literacy and the risk of hospital admission among Medicare managed care enrollees.
prospective_cohort · Level II
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- Record sourced from PubMed, PMID 12144984.
- Also identified by PMC identifier 1447230.
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Abstract
This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission. We studied a prospective cohort of 3260 Medicare managed care enrollees. Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n = 800; RR = 1.43; 95% confidence interval [CI] = 1.24, 1.65) and marginal literacy (n = 366; RR = 1.33; 95% CI = 1.09, 1.61) than for those with adequate literacy (n = 2094). In multivariate analysis, the adjusted relative risk of hospital admission was 1.29 (95% CI = 1.07, 1.55) for individuals with inadequate literacy and 1.21 (95% CI = 0.97, 1.50) for those with marginal literacy. Inadequate literacy was an independent risk factor for hospital admission among elderly managed care enrollees.
Medical subject headings
- Educational Status
- Health Education
- Hospitals
- Managed Care Programs
- Medicare
- Patient Admission