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: 10.1007/s00038-009-0058-2
10.21256/zhaw-5025
Published in: International Journal of Public Health
Volume(Issue): 54
Issue: 5
Page(s): 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): 362.1041: 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.
URI: https://digitalcollection.zhaw.ch/handle/11475/15355
Fulltext version: Published version
License (according to publishing contract): CC BY-NC 2.0: Attribution - Non commercial 2.0 Generic
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Published as part of the ZHAW project: Health Literacy
Appears in collections:Publikationen School of Management and Law

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Eichler, K., Wieser, S., & Brügger, U. (2009). The costs of limited health literacy : a systematic review. International Journal of Public Health, 54(5), 313–324. https://doi.org/10.1007/s00038-009-0058-2
Eichler, K., Wieser, S. and Brügger, U. (2009) ‘The costs of limited health literacy : a systematic review’, International Journal of Public Health, 54(5), pp. 313–324. Available at: https://doi.org/10.1007/s00038-009-0058-2.
K. Eichler, S. Wieser, and U. Brügger, “The costs of limited health literacy : a systematic review,” International Journal of Public Health, vol. 54, no. 5, pp. 313–324, 2009, doi: 10.1007/s00038-009-0058-2.
EICHLER, Klaus, Simon WIESER und Urs BRÜGGER, 2009. The costs of limited health literacy : a systematic review. International Journal of Public Health. 2009. Bd. 54, Nr. 5, S. 313–324. DOI 10.1007/s00038-009-0058-2
Eichler, Klaus, Simon Wieser, and Urs Brügger. 2009. “The Costs of Limited Health Literacy : A Systematic Review.” International Journal of Public Health 54 (5): 313–24. https://doi.org/10.1007/s00038-009-0058-2.
Eichler, Klaus, et al. “The Costs of Limited Health Literacy : A Systematic Review.” International Journal of Public Health, vol. 54, no. 5, 2009, pp. 313–24, https://doi.org/10.1007/s00038-009-0058-2.


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