Michael K Paasche-Orlow1, Michael S Wolf. 1. Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston University Medical Center, Boston, MA 02118, USA. mpo@bu.edu
Abstract
OBJECTIVE: To provide an evidence-based review of plausible causal pathways that could best explain well-established associations between limited health literacy and health outcomes. METHODS: Through analysis of current findings in medical and public health literature on health literacy we derived a conceptual causal model. RESULTS: Health literacy should be viewed as both a patient and a system phenomenon. Three distinct points along a continuum of health care are suggested to be influenced by health literacy: (1) access and utilization of health care, (2) patient-provider relationship, and (3) self-care. CONCLUSIONS: The conceptual model organizes what has been learned to date and underscores promising areas of future inquiry and intervention.
OBJECTIVE: To provide an evidence-based review of plausible causal pathways that could best explain well-established associations between limited health literacy and health outcomes. METHODS: Through analysis of current findings in medical and public health literature on health literacy we derived a conceptual causal model. RESULTS: Health literacy should be viewed as both a patient and a system phenomenon. Three distinct points along a continuum of health care are suggested to be influenced by health literacy: (1) access and utilization of health care, (2) patient-provider relationship, and (3) self-care. CONCLUSIONS: The conceptual model organizes what has been learned to date and underscores promising areas of future inquiry and intervention.
Authors: Matteo Fabbri; Kathleen Yost; Lila J Finney Rutten; Sheila M Manemann; Cynthia M Boyd; Daniel Jensen; Susan A Weston; Ruoxiang Jiang; Véronique L Roger Journal: Mayo Clin Proc Date: 2017-12-06 Impact factor: 7.616
Authors: Alex D Federman; Michael S Wolf; Anastasia Sofianou; Melissa Martynenko; Rachel O'Connor; Ethan A Halm; Howard Leventhal; Juan P Wisnivesky Journal: J Am Geriatr Soc Date: 2014-04-29 Impact factor: 5.562
Authors: Paul L Geltman; Jo Hunter Adams; Jennifer Cochran; Gheorghe Doros; Denis Rybin; Michelle Henshaw; Linda L Barnes; Michael Paasche-Orlow Journal: Am J Public Health Date: 2013-01-17 Impact factor: 9.308