Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 206-212 , February 2009

Rehabilitation Consumers' Use and Understanding of Quality Information: A Health Literacy Perspective

Presented to the American Congress of Rehabilitation Medicine and American Society of Neurorehabilitation Joint Conference, October 3–7, 2007, Washington, DC.

  • Susan Magasi, PhD

      Affiliations

    • Center on Outcomes, Research and Education, NorthShore University HealthSystem, Evanston, IL
    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Corresponding Author InformationReprint requests to Susan Magasi, PhD, Center for Outcomes, Research and Education, NorthShore University HealthSystems, 1001 University Place, Ste 100, Evanston, IL 60201
    • ,
  • Elizabeth Durkin, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL
    • ,
  • Michael S. Wolf, PhD, MPH

      Affiliations

    • Health Literacy and Learning Program, Division of General Medicine and Institute for Healthcare Studies, Northwestern University, Chicago, IL
    • ,
  • Anne Deutsch, PhD, RN, CRRN

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL
    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL

References 

  1. Institute of Medicine (U.S.). Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington (DC): National Academy Pr; 2001;
  2. Beatty PW, Neri MT, Bell K, DeJong G. Use of outcomes information in acute inpatient rehabilitation. Am J Phys Med Rehabil. 2004;83:468–478
  3. Silverstein B, Findley PA, Bode RK. Usefulness of the nursing home quality measures and quality indicators for assessing skilled nursing facility rehabilitation outcomes. Arch Phys Med Rehabil. 2006;87:1021–1025
  4. Report to the Congress: Medicare Payment Policy. Washington, DC (601 New Jersey Avenue, NW, Suite 9000, Washington, DC 20001): Medicare Payment Advisory Commission; 2006;
  5. Kaiser . National survey on consumer experiences with patient safety and quality information. November 2004. http://www.ahrq.gov/qual/consattitud.htmAccessed November 9, 2008
  6. Nielsen-Bohlman L, Panzer AM, Kindig DA Institute of Medicine (U.S.) Committee on Health Literacy. Health literacy: a prescription to end confusion. Washington (DC): National Academies Pr; 2004;
  7. United States. Dept of Health and Human Services. Healthy people 2010: understanding and improving health. 2nd ed.. Washington (DC): U.S. Dept of Health and Human Services: For sale by the U.S. G.P.O. Supt. of Docs; 2000;
  8. Ratzan S, Parker RM. Introduction. In: Seldon CR, Zorn M, Ratzan SC, Parker RM, editors. National Libraries of Medicine. Current bibliographies in medicine: health literacy. http://www.nlm.nih.gov/archive/20061214/pubs/cbm/hliteracy.pdfAccessed November 7, 2008
  9. Hibbard J, Pawlson LG. Why not give consumers a framework for understanding quality?. Jt Comm J Qual Saf. 2004;30:347–351
  10. Hibbard JH, Slovic P, Peters E, Finucane ML. Strategies for reporting health plan performance information to consumers: evidence from controlled studies. Health Serv Res. 2002;37:291–313
  11. Centers for Medicare and Medicaid Services. Nursing Home Compare. http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp?version=default&browser=IE%7C6%7CWinXP&language=English&defaultstatus=0&pagelist=Home&CookiesEnabledStatus=TrueAccessed November 29, 2007
  12. Wilkerson D, Shen D, Duhaime M. Performance Indicators for Rehabilitation Programs: working paper for comment (CARF). August 1998. p 1-95 http://www.carf.org/pdf/PerIndMo.pdfAccessed November 9, 2008.
  13. Canto JG. Selecting the ideal cardiovascular surgeon: is it possible with public dissemination of clinical outcomes?. Med Care. 2007;45:585–586
  14. Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. J Gen Intern Med. 2006;21:857–861
  15. Sentell TL, Halpin HA. Importance of adult literacy in understanding health disparities. J Gen Intern Med Aug. 2006;21:862–866
  16. Hibbard JH, Peters E. Supporting informed consumer health care decisions: data presentation approaches that facilitate the use of information in choice. Annu Rev Public Health. 2003;24:413–433
  17. Paasche-Orlow MK, Schillinger D, Greene SM, Wagner EH. How health care systems can begin to address the challenge of limited literacy. J Gen Intern Med. 2006;21:884–887
  18. Medicare Payment Advisory Commission. Report to Congress: Medicare Payment Policy. March Washington, DC: MedPAC; 2005;
  19. Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. 2nd ed.. Philadelphia: JB Lippincott Co; 1996;
  20. Peters E, Dieckmann N, Dixon A, Hibbard JH, Mertz CK. Less is more in presenting quality information to consumers. Med Care Res Rev. 2007;64:169–190
  21. Chandler P, Sweller J. Cognitive load theory and the format of instruction. Cognition and Instruction. 1991;8:293–332
  22. Gerteis M, Gerteis JS, Newman D, Koepke C. Testing consumers' comprehension of quality measures using alternative reporting formats. Health Care Finance Rev. 2007;28:31–45

 Supported by the National Institute on Disability and Rehabilitation Research through a Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness (grant no. H133B040032).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01601-8

doi: 10.1016/j.apmr.2008.07.023

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 206-212 , February 2009

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