11/07/2022
Healthwise Communications Team
Ellen had a rash on her forehead. She thought maybe she got it from working in the garden that morning. Ellen put some aloe vera cream on the rash, but it didn’t seem to help. Then, a few days later, her eye started to hurt. When Ellen’s eye started to turn red and her vision blurred, she called an ambulance. The emergency room doctor quickly realized that Ellen had shingles in her eye and put her on an antiviral medication. Although Ellen’s shingles cleared up, she still has nerve pain and a big emergency room bill. She was shocked to hear that what started as an annoying rash could have caused her to go blind in that eye.
Ellen hadn’t been to the doctor in years. She used to have annual checkups, but she fell out of the habit. Had Ellen been going to the doctor regularly, her doctor would have recommended the shingles vaccine since she’s over 50 years old. If she had been better connected with her doctor, she would have received health education explaining what shingles is like, allowing her to recognize her rash and feel more comfortable contacting her doctor early on. Or she may have gotten the vaccine and avoided shingles—and her hospital bills—altogether.
Ellen’s story isn’t uncommon. Across the country in both rural and urban areas, among the educated and uneducated, low health literacy is a challenge. Health literacy doesn’t just refer to someone’s education level or reading ability—it also describes the skills a person needs to stay healthy. Skills like using health technology, navigating the health system, and being able to communicate with health care professionals are all part of health literacy. How big a problem is low health literacy?
More than one-third of U.S. adults have low health literacy. Compared to those with proficient health literacy, adults with low health literacy experience:
And low health literacy isn’t just a problem for patients who don’t get the care they need—it’s a problem for health care organizations. Low health literacy is estimated to cost the U.S. $236B annually. Yes, that’s billion with a “b.”
Low health literacy stems from innumerable factors, making “solving” it seem as impossible as achieving world peace. There’s no silver bullet, but there are some things that can help. Quality health education is one piece of that puzzle.
The U.S. Department of Health and Human Services released an action plan to improve health literacy, and their stats present a dire picture of available health information: Nearly 9 out of 10 adults have difficulty using the everyday health information available to them.
Health education in its most basic form should help people understand their health. Someone who doesn’t understand a condition or diagnosis probably won’t understand or be able to manage their treatment, leading to poor outcomes and higher health care costs. If Ellen had been visiting her doctor regularly and received health education explaining the vaccine or what a shingles rash looks like, she could have avoided a health scare, ongoing pain, and emergency room bills.
Improving a person’s understanding through health education can have other positive effects:
For Ellen, familiarity with her doctor and education about conditions like shingles would have helped her get treatment for shingles much sooner. This would have saved her stress and health issues, as well as saved both her and the health care system money. Healthwise aims to provide everyone with the education they need to achieve their best health, including visual patient instructions and tools to help decide when and how to access care. Contact us for more information on how our health education can help you and your patients achieve better health literacy and reduce costs.