
Contents
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Defining Health Literacy, with Focus on Information Exchange in Clinical Encounters Defining Health Literacy, with Focus on Information Exchange in Clinical Encounters
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Defining Health Literacy Defining Health Literacy
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Outcomes Outcomes
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Bidirectional Communication Within the Clinical Encounter Bidirectional Communication Within the Clinical Encounter
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Strategies for Effective Communication Strategies for Effective Communication
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Application of Universal Precautions Versus Screening Application of Universal Precautions Versus Screening
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Use of Plain Language Use of Plain Language
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Organize and Prioritize Learning Goals Organize and Prioritize Learning Goals
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Encourage Question Asking Encourage Question Asking
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Confirm Understanding Confirm Understanding
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Use Communication Aids Use Communication Aids
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Newer Areas of Interest Newer Areas of Interest
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Challenges and Approaches to the Problem of Numeracy Challenges and Approaches to the Problem of Numeracy
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Medication Communication Medication Communication
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Conclusion Conclusion
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Further Directions Further Directions
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References References
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3 Health Literacy and Information Exchange in Medical Settings
Get accessDebra B. Keller, Division of General Internal Medicine, Department of Medicine at San Francisco, General Hospital, University of California San Francisco.
Urmimala Sarkar MD, MPH is an Assistant Professor of Medicine in Residence at UCSF in the Division of General Internal Medicine and a primary care physician at San Francisco General Hospital’s General Medicine Clinic.
Dean Schillinger, M.D. is Professor of Medicine in Residence at the University of California San Francisco, and Chief of the UCSF Division of General Internal Medicine at San Francisco General Hospital (SFGH).
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Published:16 December 2013
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Abstract
This essay describes health literacy as the range of skills that individuals need to optimally function in the healthcare setting, as well as the interplay between these literacy skills and the literacy-related demands and expectations of an increasingly complex healthcare environment. The connection between limited health literacy and health outcomes is reviewed, with an emphasis on how limited health literacy contributes to health disparities. The essay introduces the concept of bidirectional communication to frame the discussion about challenges associated with interactive communication in the medical setting, then describes strategies for effective communication, including the use of “universal precautions” or plain language for all as a means of effectively communicating information to patients, the importance of avoiding jargon, and the central role of ensuring comprehension. Finally, the chapter introduces newer areas of interest including numeracy and medication safety.
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