Health literacy and quality of care of patients with diabetes: A cross-sectional analysis.

Détails

Ressource 1Télécharger: Zuercher 2017_Health literacy and quality of care_author copy.pdf (341.04 [Ko])
Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_FCA9353F4D86
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Health literacy and quality of care of patients with diabetes: A cross-sectional analysis.
Périodique
Primary care diabetes
Auteur⸱e⸱s
Zuercher E., Diatta I.D., Burnand B., Peytremann-Bridevaux I.
ISSN
1878-0210 (Electronic)
ISSN-L
1878-0210
Statut éditorial
Publié
Date de publication
06/2017
Peer-reviewed
Oui
Volume
11
Numéro
3
Pages
233-240
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Limited health literacy (HL) may lead to poor health outcomes and inappropriate healthcare use, particularly in patients with chronic diseases. We aimed to assess the association between functional HL (FHL) and quality of care, as measured by process- and outcome-of-care indicators, in patients with diabetes.
This cross-sectional study used data from the 2013 CoDiab-VD cohort follow-up, which included non-institutionalised adults with diabetes from canton of Vaud, Switzerland. Using self-administered questionnaires, we collected patients' characteristics, processes [annual HbA1C check, lipid profile, urine test, foot examination, influenza vaccination, eye examination (24 months), physical activity and diet recommendations] and outcomes of care (HbA1C knowledge, HbA1C value, SF-12, ADDQoL, PACIC, self-efficacy). A single validated screening question assessed FHL. Unadjusted and adjusted regression analyses were performed.
Of 381 patients 52.5% (95%CI: 47.5%-57.5%), 40.7% (95%CI: 35.7%-45.6%) and 6.8% (95%CI: 4.3%-9.4%) reported high, medium and poor FHL, respectively. Significant associations were found for two out of seven outcomes of care; lower self-efficacy scores associated with medium and poor FHL (adjusted: β -0.6, 95%CI -0.9 to -0.2 and β -1.8, 95%CI -2.5 to -1.2, respectively), lower SF-12 mental scores associated with poor FHL (adjusted: β -8.4, 95%CI -12.5 to -4.2).
This study found few outcomes of care associated with FHL. Further exploration of the impact of limited HL on quality of care indicators will help tailor initiatives - both on patients' and providers' side - to improve diabetes care.

Mots-clé
Aged, Biomarkers/blood, Cross-Sectional Studies, Diabetes Mellitus, Type 1/diagnosis, Diabetes Mellitus, Type 1/drug therapy, Diabetes Mellitus, Type 1/psychology, Diabetes Mellitus, Type 2/diagnosis, Diabetes Mellitus, Type 2/drug therapy, Diabetes Mellitus, Type 2/psychology, Female, Glycated Hemoglobin A/metabolism, Health Knowledge, Attitudes, Practice, Health Literacy, Humans, Hypoglycemic Agents/administration & dosage, Male, Middle Aged, Process Assessment (Health Care)/standards, Quality Indicators, Health Care, Self Care, Self Efficacy, Socioeconomic Factors, Surveys and Questionnaires, Switzerland, Treatment Outcome, Diabetes, Health literacy, Quality of care
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/03/2017 17:48
Dernière modification de la notice
20/08/2019 16:27
Données d'usage