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Health Literacy in Hungary - A Bridge to Better Health Outcomes

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Health Literacy in Hungary - A Bridge to Better Health Outcomes

  1. 1. Why Health Literacy is Important A Bridge to Better Health Outcomes Thomas Straumits, AIPM Working Group Nov 10 , 2015
  2. 2. Healthcare Is Not a Priority & Innovative Medicines Not Recognized as Key To Longer & Healthier Lives Life Expectancy: One of Lowest in EU Mortality (age 15-60) One of Highest in EU CV Onco Men: 71.6. Women: 78.7 Migrations of HC Providers Gross Salaries in EU
  3. 3. A Simple Framework for a Complex Topic
  4. 4. The Challenge is Both for HealthCare Professionals and Patients
  5. 5. Health Literacy Can Help Make Health and Healthcare A Priority A more Engaged Patient with an Active Role in Decisions and Management Positive Financial Impact through a Healthy and Productive Workforce Can lead to Better Utilization of Current Healthcare Resources May Lead to Better Health Outcomes and a Healthier Longer Life An Essential Component of Patient Access to Health Promotion, Healthcare Resources including Innovative Therapies and Effective Disease Prevention
  6. 6. Health Literacy & The Disease Journey
  7. 7. Patients With Limited HL Enter Healthcare When They Are Sicker Step Better Health Literacy Behaviour Change Impact Pre- Origination Increases general knowledge about health, diseases and associated risk factors Patients become more aware of risk factors, risk and risk behaviour and show up earlier for ”check ups”, screening and tests  Ability to assess patients, prevent worsening of outcomes and initiation of treatment earlier Origination Helps the individual navigate the health care system to know where to go with a certain symptom or diagnosis Patients consult the right HCP at the right time instead of burdening the Emergency Room at Hospitals  Avoids high costs associated with patients presenting with late stage diseases and increasing efficiency of healthcare and utilization of resources 7
  8. 8. Patients With Limited HL; More Likely To Have Chronic Conditions & Less Able To Manage Them Effectively Step Better Health Literacy Behaviour Change Impact Evaluation/ Diagnosis Helps to understand the diagnosis and coping with it Patients understand diagnostic tests outcomes  Better acceptance of diagnosis and implications Treatment Choice Improves discussion about treatment choices, life style advice and alternative recommendations Treatment options, their advantages and disadvantages are discussed  Patient involvement in decision making and better able to manage disease  Potential improvement in utilization of healthcare budgets Brand Choice Increases knowledge about treatment options More conscious choice of therapy aligned with patient needs  Best-possible treatment wins 8
  9. 9. Limited HL Associated With Greater Number Of Instances Of Medication Non-adherence Step Better Health Literacy Behaviour Change Impact Fulfillment Helps to check what is dispensed and better understands potential substitution Patient gets what is prescribed/ «conscious fulfillment»  Minimizes unintended switches and enables Adherence Helps to understand the treatment, challenges and benefits Patient «knows» his treatment and how to manage it; stays on treatment  Better health outcomes  Reduces cost burden due to non- adherence  Better Utilization of Drug Budgets 9 ”When I feel better, I sometimes stop taking my medicine”
  10. 10. Our 5 Main Problem Statements No Clear, Common Definition in Hungarian for all Stakeholders No Clear Understanding of Healthcare Operations allowing for easy navigation; low awareness of patient rights, roles & responsibilities General Information Overload, but Limited Knowledge of Reliable & easy Accessible Data for Patients No Clear Data to Support Understanding of Current Level of HL; we observe low interest in health, health outcomes and activities promoting health and healthy choices HL is Not Amongst Immediate Priorities in the health sector; difficult to see who owns the area and where accountability (politically and professionally) lies
  11. 11. Validity Cronbach’s alphas Mean (scale 0-50) SD 0,97 32,3 7,8 0,98 34,5 8,0 0,97 30,5 9,2 0,97 33,6 8,5 0,96 32,9 6,1 0,97 35,2 7,8 0,96 32,0 7,6 0,96 34,5 7,9 0,95 37,1 6,4 11 Base: HU [N=954]|AT [N=979]|BG [N=925]|DE (NRW) [N=1045]|EL[N=998]|ES[N=974]|IE[N=959]|NL[N=993]|PL[N=921] 19% 10% 27% 14% 8% 10% 18% 11% 2% 33% 34% 35% 31% 51% 30% 38% 35% 27% 38% 36% 27% 40% 33% 39% 34% 34% 46% 10% 20% 11% 16% 9% 21% 10% 20% 25% HU PL BG GR ES IE AT DE NL inadequate problematic sufficient excellent Health Literacy in Hungary is Limited (but similar to Austria) Data from Szinapszis The results are sobering: Not even Netherlands, with the highest average Health Literacy reaches the excellent threshold. The average Health Literacy level in Hungary is limited (lower than 33 points), along with Bulgaria, Spain and Austria. The rest of the countries reach a sufficient Health Literacy level with their average score.
  12. 12. ~50% Can Not Easily Judge Reliability Of Information In Media Related To Illnesses Potential Solution: CERTIFICATION or “TRUSTED SOURCE-stamp” Should be created in alliance with HealthCare professionals ( Scientific Colleges)
  13. 13. 1/3 Can Not Easily Judge/Decide Which Vaccinations Or Screening They Need Further Overloading Healthcare Potential Solution: MEDICAL HOTLINE (24/7) Manned with qualified nurses providing ”first point of contact”
  14. 14. The Road Ahead Health Literacy is Complex • Solutions need to be aligned across stakeholders and addressed at different levels of the HealthCare system Health Literacy should be addressed now • Huge burden on current healthcare system by people with limited HL • Modern technology and access to reliable information can lead to ”quick wins” with patient registries and health apps Health Literacy; recognized by EU • A series of conferences to be organized and Hungary is now on the HL-map
  15. 15. Thank You For Attention!

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