serval:BIB_FCA9353F4D86
Health literacy and quality of care of patients with diabetes: A cross-sectional analysis.
10.1016/j.pcd.2017.02.003
000401210800003
28292571
Zuercher
E.
author
Diatta
I.D.
author
Burnand
B.
author
Peytremann-Bridevaux
I.
author
article
2017-06
Primary care diabetes
1878-0210
1878-0210
journal
11
3
233-240
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.
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
eng
60_published
true
peer-reviewed
Publication types: Journal Article
Publication Status: ppublish
University of Lausanne
mailto:serval_help@unil.ch
http://www.unil.ch/serval
http://serval.unil.ch/disclaimer
https://serval.unil.ch/notice/serval:BIB_FCA9353F4D86