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Healthy People 2010 Focus Area 11: Health Communication Progress Review April 19, 2007

Healthy People 2010 Focus Area 11: Health Communication Progress Review April 19, 2007. The Challenge. More than 1 in 3 adults (77 million people) lack sufficient health literacy to Interpret an OTC drug label Know when a child should receive a vaccine Use a BMI chart

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Healthy People 2010 Focus Area 11: Health Communication Progress Review April 19, 2007

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  1. Healthy People 2010 Focus Area 11:Health CommunicationProgress ReviewApril 19, 2007

  2. The Challenge • More than 1 in 3 adults (77 million people) lack sufficient health literacy to • Interpret an OTC drug label • Know when a child should receive a vaccine • Use a BMI chart • Internet access is improving, but disparities persist • Patient perception of poor provider communication is associated with • Non-English preference • Public insurance or no insurance • Less education

  3. Objective Status Target met or exceeded 11-5. Centers for excellence in health communication Improving 11-1. Internet access in the home 11-6c. Healthcare provider shows respect 11-6d. Healthcare provider spends enough time Little or no change 11-6a. Healthcare provider listens carefully 11-6b. Healthcare provider explains things so that patients can understand Newly measurable* 11-2. Health literacy 11-3. Evaluation of HHS campaigns 11-4. Health Web sites disclosing quality-related information * Newly measurable objectives have only baseline data.

  4. Centers for Excellence in Health Communication CDC-funded U of Connecticut U of Georgia Harvard Medical School U of Washington NCI-funded U of Michigan U of Pennsylvania St. Louis U U of Wisconsin • Centers are expected to • Contribute to the knowledge base • Train professionals • Disseminate theories, concepts, and methods • 4 Centers in 2003, 8 in 2006 (target 6) Source: National Cancer Institute (NCI), National Institutes of Health (NIH), U.S. Department of Health and Human Services. Obj. 11-5

  5. Internet Access in the Home Increase desired NHES 100 50 0 0 CPS 1997 2003 Percent 2001 2003 2010 Target: 80 Total American Indian/ Alaska Native Asian/ Pacific Islander Black Hispanic White I = 95% confidence interval. Data are for adults aged 18 and over. Black and white exclude persons of Hispanic origin. Sources: National Household Education Survey (NHES), U.S. Department of Education and Current Population Survey (CPS), U.S. Department of Commerce, Bureau of the Census. Obj. 11-1

  6. Internet Access in the Home Increase desired Less than high school High school graduate Some college With disabilities Without disabilities Percent 2001 2003 2010 Target: 80 Total Education* Disability status† I = 95% confidence interval. Data are for adults age 18 years and over. *Education level is for adults age 25 years and over. †Data for persons with disabilities were collected only in 2001. Source: National Household Education Survey (NHES), U.S. Department of Education. Obj. 11-1

  7. Health Web Sites That Disclose Information Related to the Web Site’s Quality, 2006 Increase desired Percent Target: 80 Target: 64 Target: 40 Target: 19 Target: 10 Target: 10 <1%* <1%* Privacy of personal information User feedback Purpose Identity of sponsor Editorial policy Update date I = 95% confidence interval. *Data are statistically unreliable. Source: Office of Disease Prevention and Health Promotion, “Estimating the Proportion of Health-Related Websites Disclosing Information That Can Be Used To Assess Their Quality.” Mathematica Policy Research, Inc. May 6, 2006. Obj. 11-4 a-g

  8. Health Web Sites That Disclose Information Related to the Web Site’s Quality, 2006 Increase desired Percent Target: 80 Target: 64 Target: 40 Target: 29 Target: 19 Target: 10 Target: 10 <1%* <1%* Privacy of personal information User feedback Purpose Identity of sponsor Editorial policy Update date 3 or more criteria I = 95% confidence interval. *Data are statistically unreliable. Source: Office of Disease Prevention and Health Promotion, “Estimating the Proportion of Health-Related Websites Disclosing Information That Can Be Used To Assess Their Quality.” Mathematica Policy Research, Inc. May 6, 2006. Obj. 11-4 a-g

  9. HHS-Sponsored Health Communication Campaigns That Include Research and Evaluation • Study of 37 (out of 117) campaigns from 2002 to 2005 • Research conducted during program development (Formative) 35 of 37 or 95% (target 100%) • Documentation and study of campaign components during implementation (Process) 30 of 37 or 81% (target 89%) • Measurement of campaign impact (Outcome) 22 of 37 or 59% (target 65%) Source: Office of Disease Prevention and Health Promotion, Office of the Secretary, U.S. Department of Health and Human Services. Obj. 11-3 a-c

  10. Patient Perception of Positive Provider Communication Skills Increase desired Percent 2001 2004 Target: 65 Target: 64 Target: 65 Target: 52 Spend enough time Listen carefully Show respect Explain things I = 95% confidence interval. Data are for adults age 18 years and over. Percent of patients who responded “always” to questions on listening carefully, explaining things, showing respect, and spending enough time. Source: Medical Expenditure Panel Survey (MEPS), Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. Obj. 11-6 a-d

  11. Patient Perception of Poor Provider Communication Skills, 2003 Percent Hispanic Female Male Total Asian Black White American Indian I = 95% confidence interval. Data are for adults age 18 years and over. Percent of patients who answered “sometimes” or “never” to questions on listening carefully, explaining things, showing respect, and spending enough time. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group. American Indian includes Alaska Natives. Source: Medical Expenditure Panel Survey (MEPS), Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

  12. Patient Perception of Poor Provider Communication Skills, 2003 Percent Total Other English None Public Private Less than high school High school Some college Language preference Health insurance* Education I = 95% confidence interval. Data are for adults age 18 years and over. *Health insurance data are for adults age 18 to 64 years. Percent of patients who answered “sometimes” or “never” to questions on listening carefully, explaining things, showing respect, and spending enough time. Source: Medical Expenditure Panel Survey (MEPS), Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

  13. The Four Levels of Health Literacy, 2003 • Proficient (12%) • Finding information required to define a medical term by searching a complex document, such as a drug label. • 25 million people aged 16 and over • Intermediate (53%) • Finding the age range for a particular vaccine from a childhood vaccines chart. • 114 million people aged 16 and over • Basic (22%) • Giving two reasons why a person with no symptoms of a specific disease should be tested for the disease, based on information in a clearly written pamphlet. • 47 million people aged 16 and over • BelowBasic (14%) • Identifying what is permissible to drink before a medical test, based on a set of short instructions. • 30 million people aged 16 and over Percentages do not total 100 because of rounding. Source: National Assessment of Adult Literacy (NAAL), National Center for Education Statistics (NCES), U.S. Department of Education. Obj. 11-2

  14. Percent Distribution of Health Literacy Level, 2003 Below Basic Basic Intermediate Proficient 14% 22% 53% 12% Total Asian/Pacific Islander White American Indian/Alaska Native Hispanic Black 0 20 40 60 80 100 Percent Percentages do not total 100 because of rounding. The black and white categories exclude persons of Hispanic origin. Data are for persons age 16 years and over. Source: National Assessment of Adult Literacy (NAAL), National Center for Education Statistics (NCES), U.S. Department of Education. Obj. 11-2

  15. Below Basic Health Literacy, 2003 Decrease desired Total Persons with disabilities Persons w/o disabilities 18-24 years 25-44 years 45-64 years 65+ years Less than high school High school At least some college 2010 Target: TBD Percent 0 10 20 30 40 50 60 I = 95% confidence interval.Data for persons with disabilities are for persons age 16 years and over. Education data are for persons age 25 years and over. Source: National Assessment of Adult Literacy (NAAL), National Center for Education Statistics (NCES), U.S. Department of Education. Obj. 11-2b

  16. Data Issues • Data sources identified for all objectives • Funding of future data collection is uncertain • For some objectives, smaller racial/ethnic groups lack reliable data • Data needed on link between provider communication and patient outcome

  17. Progress review data and slides are available on the web at: http://www.cdc.gov/nchs/hphome.htm

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