1. Health Literacy and Treatment Satisfaction Among Patients with Venous Thromboembolism.
- Author
-
Mefford, Matthew, Zhou, Hui, Fan, Dongjie, Fang, Margaret, Go, Alan, Portugal, Cecilia, Chang, John, Reynolds, Kristi, and Prasad, Priya
- Subjects
health literacy ,satisfaction ,treatment ,venous thromboembolism ,Humans ,Venous Thromboembolism ,Retrospective Studies ,Health Literacy ,Patient Satisfaction ,Anticoagulants - Abstract
BACKGROUND: Venous thromboembolism (VTE) treatment requires complex management, and patients with limited health literacy (HL) may perceive higher burden and lower benefits associated with their treatment. OBJECTIVE: To examine the association of HL with treatment satisfaction among patients with VTE. DESIGN: Retrospective cohort study PARTICIPANTS: Kaiser Permanente Southern and Northern California members who were taking oral anticoagulants (OAC) for incident VTE between 2015 and 2018 were surveyed. Main Measures HL was assessed using a 3-item HL assessment and dichotomized as having adequate or limited HL. High treatment burden and low treatment benefit were defined as Anti-Clot Treatment Scale (ACTS) scores below the 25th percentile of the distributions for ACTS Burdens and Benefits survey components, respectively. Using Poisson regression, multivariable adjusted risk ratios (RR) and 95% confidence intervals (CI) were calculated for the association of HL with high treatment burden and low treatment benefits. RESULTS: Among 2154 respondents, 397 (18.4%) had limited HL. Patients with limited vs adequate HL were older (47.9% vs 27.5% aged ≥ 75 years, p
- Published
- 2023