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Addressing Health Literacy in the Inpatient Setting

  • Hospital Medicine (A Statile and N Unaka, Section Editors)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of review

This review seeks to provide a comprehensive approach to understanding the impact of and addressing health literacy for pediatric patients and families cared for in the hospital.

Recent findings

Limited health literacy can impact clinical outcomes. Hospitalization presents unique challenges, as caregivers face the stress of a sick child and the need to navigate the complex medical system; families of children with medical complexity or limited English proficiency are particularly vulnerable groups. To address the problem, general principles should be applied to communication with all patients, including the use of plain language, counseling with techniques to confirm understanding, and assessing written tools for readability and understandability to ensure that care plans can be carried out at home.

Summary

Health literacy is an important consideration for families of hospitalized children. Providers can communicate effectively to improve health outcomes by implementing general strategies for all patients.

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Abbreviations

AHRQ:

Agency for Healthcare Research and Quality

DHHS:

Department of Health and Human Services

LEP:

Limited English proficiency

LOS:

Length of stay

NAM, formerly Institute of Medicine:

National Academy of Medicine

NVS:

Newest Vital Sign

PEMAT:

Patient Education Materials Assessment Tool

REALM:

Rapid Estimate of Adult Literacy in Medicine

TOFHLA:

Test of Functional Health Literacy in Adults

U.S.:

United States

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Authors and Affiliations

  1. Division of Hospital Medicine, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave. ML 5018, Cincinnati, OH, 45229, USA

    Ndidi I. Unaka MD, MEd, Angela M. Statile MD, MEd & Angela Choe MD

  2. Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA

    Ndidi I. Unaka MD, MEd & Angela M. Statile MD, MEd

  3. Departments of Pediatrics and Population Health, New York University School of Medicine, New York, NY, USA

    H. Shonna Yin MD, MS

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  1. Ndidi I. Unaka MD, MEd
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  2. Angela M. Statile MD, MEd
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  3. Angela Choe MD
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  4. H. Shonna Yin MD, MS
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Correspondence to Ndidi I. Unaka MD, MEd.

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Conflict of Interest

Ndidi I. Unaka is a section editor for Current Treatment Options in Pediatrics.

Angela M. Statile is a section editor for Current Treatment Options in Pediatrics.

Angela Choe declares that she has no conflict of interest.

H. Shonna Yin declares that she has no conflict of interest.

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Unaka, N.I., Statile, A.M., Choe, A. et al. Addressing Health Literacy in the Inpatient Setting. Curr Treat Options Peds 4, 283–299 (2018). https://doi.org/10.1007/s40746-018-0122-3

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