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Insights on Improving Health Insurance Literacy in Diabetes.
Julia E Blanchette1,2, Laura M Nally3, Katherine Wentzell4,5
1Diabetes and Metabolic Care Center, Division of Endocrinology, Department of Medicine, University Hospitals, Cleveland, OH 44106, USA.
The Journal of Clinical Endocrinology and Metabolism
|February 25, 2025
Summary
Health insurance literacy interventions improve diabetes self-management for adults facing affordability issues. Effective strategies cater to specific needs using diverse methods, enhancing patient care and reducing distress.
Area of Science:
- Health Services Research
- Health Literacy
- Diabetes Management
Background:
- Adults with diabetes often struggle with medication costs and health insurance literacy, leading to distress and suboptimal self-care.
- Low health insurance literacy creates significant barriers to effective diabetes management and access to necessary healthcare services.
Purpose of the Study:
- To review the effectiveness of health insurance literacy interventions.
- To provide actionable recommendations for integrating these interventions into diabetes care practices.
Main Methods:
- A systematic review of PubMed and Scopus (2014-2024) identified intervention studies on health insurance literacy.
- Studies focused on diverse populations, including those with chronic conditions like diabetes.
- Intervention quality was assessed, and evidence synthesized for application in diabetes care.
Main Results:
- Effective interventions are tailored to specific population learning needs and literacy levels.
- Diverse methods like web-based aids, navigator support, serious games, and microvideo toolkits show promise.
- A critical gap exists in defining and consistently measuring health insurance literacy.
Conclusions:
- Health insurance education should be integrated into academic curricula, transition programs, and community health initiatives.
- Employing community health workers can enhance health insurance literacy within healthcare systems.
- Consistent use of validated health insurance literacy measures is crucial for advancing research.
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