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The influence of health literacy on emergency department utilization and hospitalizations in adolescents with sickle cell disease.
- Source :
- Public Health Nursing; Nov/Dec2019, Vol. 36 Issue 6, p765-771, 7p, 1 Diagram, 3 Charts
- Publication Year :
- 2019
-
Abstract
- Objective: Healthcare spending in the US is $3.2 trillion. $1.1 trillion is attributed to hospital care, including emergency department (ED) visits and hospitalizations. There is a relationship between ED utilization, hospitalizations, and health literacy in the general population. Health literacy may play a role in frequent ED visits and hospitalizations in patients with sickle cell disease (SCD). The purpose of this paper is to describe the relationship among health literacy levels, annual hospital encounters, annual clinic visits, annual ED visits, and annual hospitalizations in 134 Black, non‐Hispanic adolescents aged 10–19 years with SCD. Design: This is a cross‐sectional, descriptive correlational study evaluating facilitators and barriers to health literacy and clinical outcomes in adolescents with SCD. Sample: Data were collected from 134 Black, non‐Hispanic adolescents with SCD at a large, tertiary care center in Texas. Measurements: The Newest Vital Sign and REALM‐Teen health literacy instruments were used to evaluate health literacy. Results: Contrasting previous studies evaluating the influence of health literacy on ED visits and hospitalizations in the general population, there were no significant relationships within this sample. Conclusions: This study gives insight into future research to evaluate other potential influences on ED utilization and hospitalizations in pediatric patients with SCD. [ABSTRACT FROM AUTHOR]
- Subjects :
- STATISTICAL correlation
HOSPITAL care
HOSPITAL emergency services
RESEARCH methodology
EVALUATION of medical care
RESEARCH funding
STATISTICAL sampling
STATISTICS
DATA analysis
CROSS-sectional method
HEALTH literacy
DATA analysis software
SICKLE cell anemia in adolescence
DESCRIPTIVE statistics
TERTIARY care
Subjects
Details
- Language :
- English
- ISSN :
- 07371209
- Volume :
- 36
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Public Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 139455522
- Full Text :
- https://doi.org/10.1111/phn.12643