MODULE 6: Education and Health Literacy (Last Review 5/1/24)

Module Presentation

Learning Objectives

  1. Demonstrate the impact of education level and health literacy on health outcomes.

  2. Explore how health literacy can influence care in the emergency department.

  3. Identify strategies to address health literacy  during ED discharges

Literature Review

Textbooks

Anderson, E.S., Avegno, J. Education and Employment. In: Alter, H.J., Dalawari, P., Doran, K.M., Raven, M.C. (eds) Social Emergency Medicine. Springer Cham; 2021 -- chapter 11 (10.1007/978-3-030-65672-0_11) -- Detailed overview of how education attainment level and employment status impact health outcomes - including relevant data. Also includes suggestions for ways to change your practice in the ED / get involved to combat these disparities in outcomes.

Articles

  • Morrison et al. The relationship between parent health literacy and pediatric emergency department utilization: a systematic review (10.1016/j.acap.2013.03.001)

  • Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990-2010 (10.1007/s13524-015-0453-7) -- educational disparities in US adult mortality have been widening for several decades and college-education fares better as opposed to just high-school or any other level less than college

  • The Association of Health Literacy With Preventable Emergency Department Visits: A Cross-sectional Study (10.1111/acem.13244) -- authors concluded health literacy is one area to focus on to address this aspect of ED utilization

  • Is low health literacy associated with increased emergency department utilization and recidivism? (10.1111/acem.12476)

  • Examining social determinants of health: the role of education, household arrangements and country groups by gender (10.1186/s12889-019-7054-0) -- cross-sectional study that examined how mezzo (contextual) social determinants of health (SDHs) interact with micro SDHs (individual characteristics). Specifically, it assessed the role of education, household arrangements, country groups, and gender in health status.

  • Association Between Educational Attainment and Causes of Death Among White and Black US Adults, 2010-2017 (10.1001/jama.2019.11330)

  • The Enduring Association between Education and Mortality: The Role of Widening and Narrowing Disparities (10.1177/0003122411411276)

  • Parental Management of Discharge Instructions: A Systematic Review (10.1542/peds.2016-4165)

Paired Resources

Supplemental Materials

Sim cases/Case studies

Bernstein E, Bernstein J. Case Studies in Emergency Medicine and the Health of the Public. Jones & Bartlett; 1996.

Videos and Visuals

US Dept of Health & Human Services. 5 Things to Know About Health Literacy -- Overview and recommendations to address these issues with patients.

TEDxMidAtlantic. Are you confused about health information? You're not alone | Lisa Fitzpatrick -- Personal story and great overview and talk from an ID physician & epidemiologist Dr. Lisa Fitzpatrick

Assessments

Questions