Social Determinants of Health and Health Literacy in Orthopaedic Surgery

This thesis conducts a thorough exploration of the complex social determinants of health that affect orthopaedic patients, with a specific emphasis on health literacy. Through rigorous analysis and examination, it provides valuable insights into the prevalence of limited health literacy and the significant risk factors associated with it. Through the investigations in this thesis, a new understanding of the dangers posed by limited health literacy emerges, underscoring the critical importance of early identification of patients with low health literacy to improve health outcomes. Moreover, by evaluating the impact of limited health literacy on patient-reported outcome measures, it offers a vital perspective on how to improve aspects of patient-centered care that optimizes health outcomes. Furthermore, an evaluation of a self-reported health literacy screening measure is presented that offers potential for identifying patients with limited health literacy while being mindful of clinical resources. This screening tool can aid health care providers in personalizing patient care to meet the unique needs of those with low health literacy, thereby improving overall health equity. Overall, this thesis provides a wealth of information and insights into the social determinants of health and health literacy among orthopaedic patients, emphasizing the urgent need to identify and address these critical factors to achieve optimal health outcomes.