Health Literacy Burden Is Associated with Access to Liver Transplantation

Background Getting listed for liver transplantation is a complex process. Institutional health literacy may influence the ability of patients with limited educational attainment (EA) to list. As an easily accessible indicator of institutional health literacy, we measured the understandability of liver transplant center education websites and assessed whether there was any association with the percentage of low EA patients on their waitlists. Methods Patients on the waitlist for liver transplantation 2007-2016 were identified in SRTR. Understandability of patient education websites was assessed using the Clear Communication Index (CCI). The CDC has set itself a goal CCI of 90 as being easy to understand. Low EA was defined as

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