Literacy in the Health Care System: A Study On Open Heart Surgery Patients

Purpose To determine if patients recovering from open heart surgery were able to read and understand written discharge instructions and further to analyze the level of difficulty of standard discharge instructions and consent forms for open heart surgery. Data Sources After screening for visual acuity and efficiency, literacy was assessed with the Rapid Estimate of Adult Literacy in Medicine test (REALM) and comprehension was tested by a post‐test of five questions based on the discharge instructions. Flesch‐Kincaid scores were calculated on four sets of standard written discharge instructions and consent forms. Conclusions Results from the study indicated that the REALM test was more accurate than the reported grade level and that reading skills are needed to understand and comprehend information needed for post‐operative care. The study further substantiated that health care facilities are not providing wrien instructional material that is within the reading level of the patient. Implications for Practice Illiteracy can have a major impact in the health care system. Low reading skills can disempower and can prove to be costly for patients who are requiring health care services. Further investigation is needed on the impact of patients’ reading skills on the health care system.

[1]  Jay S. Blanchard,et al.  Illiteracy among Medicaid Recipients and its Relationship to Health Care Costs , 2010, Journal of health care for the poor and underserved.

[2]  E. J. Mayeaux,et al.  Reading ability of parents compared with reading level of pediatric patient education materials. , 1994, Pediatrics.

[3]  Improvement,et al.  Adult literacy in America : a first look at the results of the National Adult Literacy Survey , 1993 .

[4]  Jane Close Conoley,et al.  The twelfth mental measurements yearbook. , 1995 .

[5]  Nina S. Parikh,et al.  Inadequate functional health literacy among patients at two public hospitals. , 1995, JAMA.

[6]  S. Miles,et al.  Patients who can't read. Implications for the health care system. , 1995, JAMA.

[7]  T. Davis,et al.  The gap between patient reading comprehension and the readability of patient education materials. , 1990, The Journal of family practice.

[8]  C. Marwick.  Patients' lack of literacy may contribute to billions of dollars in higher hospital costs. , 1997, JAMA.

[9]  P. Mehler,et al.  The illiterate patient: screening and management. , 1998, Hospital practice.

[10]  C. Feied,et al.  Functional illiteracy among emergency department patients: a preliminary study. , 1993, Annals of emergency medicine.

[11]  E. J. Mayeaux,et al.  Rapid estimate of adult literacy in medicine: a shortened screening instrument. , 1993, Family medicine.

[12]  L. G. Doak,et al.  Teaching Patients With Low Literacy Skills , 1985 .