Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-5025
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: The costs of limited health literacy : a systematic review
Authors : Eichler, Klaus
Wieser, Simon
Brügger, Urs
DOI : 10.21256/zhaw-5025
10.1007/s00038-009-0058-2
Published in : International Journal of Public Health
Volume(Issue) : 2009
Issue : 54
Pages : 313
Pages to: 324
Issue Date: 2009
Publisher / Ed. Institution : Springer
ISSN: 1661-8556
1661-8564
Language : English
Subjects : Kosten; Kosten-Effektivität; Gesundheitskompetenz
Subject (DDC) : 362: Health and social services
Abstract: Objectives: To summarize evidence about the costs of limited health literacy (HL) and the cost-effectiveness of interventions to improve limited HL. Methods: We performed a systematic review searching electronic databases and additional information resources. We included observational studies and interventional studies with HL-outcomes. We included populations at high risk for low HL and patients with diabetes mellitus or hyperlipidemia. Results: We retrieved 2,340 papers and included 10 studies for analysis. The prevalence of limited HL is considerable (range 34-59%). On the health system level, the additional costs of limited HL range from 3 to 5% of the total health care cost per year. On the patient level, the additional expenditures per year per person with limited HL compared to persons with adequate HL range from US $143 to 7,798. Data on the cost-effectiveness of interventions to improve limited HL are scarce. Conclusion:The costs of limited HL may be substantial, but few studies were retrieved and the results are heterogeneous.
URI: https://digitalcollection.zhaw.ch/handle/11475/15355
Fulltext version : Published version
License (according to publishing contract) : Licence according to publishing contract
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Appears in Collections:Publikationen School of Management and Law

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