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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
Published in: International Journal of Public Health
Volume(Issue): 2009
Issue: 54
Page(s): 313
Pages to: 324
Issue Date: 2009
Publisher / Ed. Institution: Springer
ISSN: 1661-8556
Language: English
Subjects: Kosten; Kosten-Effektivität; Gesundheitskompetenz
Subject (DDC): 362.1041: Health economics
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.
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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