Accessibility, Readability, and Document Complexity of Medicaid Enrollment Materials and Resources

Autor/inn/en	An, Bryan; Prabu, Varsha; Wallace, Lorraine S.
Titel	Accessibility, Readability, and Document Complexity of Medicaid Enrollment Materials and Resources
Quelle	In: American Journal of Health Education, 53 (2022) 1, S.16-22 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
DOI	10.1080/19325037.2021.2001780
Schlagwörter	Health Insurance; Enrollment; Literacy; Internet; Help Seeking; Telecommunications; Computer Mediated Communication; English; Spanish; Information Systems; Information Sources; Audiovisual Aids; Health Services; Health Education; Public Health; Health Promotion; Public Agencies + Suchen Sie Ihr Suchwort? Krankenversicherung; Einschulung; Alphabetisierung; Schreib- und Lesefähigkeit; Help-seeking behavior; Help-seeking behaviour; Hilfe suchendes Verhalten; Telekommunikationstechnik; Computerkonferenz; English language; Englisch; Spanisch; Information source; Informationsquelle; Audiovisuelles Medium; Health service; Gesundheitsdienst; Gesundheitswesen; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Öffentliche Einrichtung
Abstract	Background: Medicaid enrollment and retention among eligible populations remains a challenge. Purpose: We assessed health literacy-related features and content of Internet-based state Medicaid enrollment materials and resources. Methods: In February 2021, using established tools, we evaluated paper Medicaid enrollment applications and scope of enrollment resources (on-line enrollment option, toll-free telephone assistance, live chat function, instructional and/or informational audiovisuals). Results: Forty (78.4%) English- and 28 (54.9%) Spanish-language paper Medicaid enrollment applications were available. Overall, document complexity was high as a large volume of information is required to apply for Medicaid coverage. An on-line Medicaid enrollment option was nearly universal. Medicaid government platforms were more likely to provide toll-free telephone assistance (n = 34; 66.7%) than a live chat function (n = 10; 19.6%). Eleven (n = 11; 21.6%) government platforms provided an instructional and/or informational Medicaid enrollment audiovisual resource. Discussion: Our work suggests the need for states to leverage technology in creation of resources to match language and cultural needs of the diverse US population. Translation to Health Education Practice: Access to continuous health insurance coverage, comprehensive clinical care services, and evidence-based health education programming combined are essential in promoting both individual and community health. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2022/4/11