Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id e7N0n8800911; Tue, 22 Aug 2000 20:49:09 -0400 (EDT) Date: Tue, 22 Aug 2000 20:49:09 -0400 (EDT) Message-Id: <NDBBKNOLGLDNLBPDOLFCMEHOCHAA.sandras@u.washington.edu> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: "Sandra Smith" <sandras@u.washington.edu> To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:2535] RE: Definition of "Health Literacy" X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2911.0) Content-Type: multipart/mixed; Status: OR This is a multi-part message in MIME format. ------=_NextPart_000_0005_01C00C60.E8EFD780 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit " the ability to understand instructions on prescription drug bottles, appointment slips, medical education brochures, doctor's directions and consent forms" Do you think this definition of health literacy "blames the victim" ? To me, it seems that patients' ability to understand brochures, directions and consent forms says more about the quality of content and materials than about the patients' literacy. SS Sandra Smith, MPH, CHES Health Education Specialist University of Washington Center for Health Education & Research Clinical Instructor, Health Services Dept Editor, Beginnings: A Practical Guide through Pregnancy Editor, http://www.PrenatalEd.com Mailing Address: 2821 2nd Ave #1601 Seattle WA 98121 206-441-7046 sandras@u.washington.edu -----Original Message----- From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov]On Behalf Of Mark V. Williams, MD Sent: Tuesday, August 22, 2000 2:37 PM To: Multiple recipients of list Subject: [NIFL-HEALTH:2534] RE: Definition of "Health Literacy" A number of definitions have been proposed. The Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association defined an individual's functional health literacy as "the ability to read and comprehend prescription bottles, appointment slips, and the other essential health-related materials required to successfully function as a patient". Health Literacy is defined by the National Health Education Standards (Joint Committee on National Health Education Standards, 1995) as "the capacity of an individual to obtain, interpret, and understand basic health information and services and the competence to use such information and services in ways which are health-enhancing." This includes the ability to understand instructions on prescription drug bottles, appointment slips, medical education brochures, doctor's directions and consent forms, and the ability to negotiate complex health care systems. Health literacy is not simply the ability to read. Health literacy requires a complex group of reading, listening, analytical, and decision-making skills and the ability to apply these skills to health situations. Literacy varies by context and setting and is not necessarily related to years of education or general reading ability. A person who functions adequately at home or work may have marginal or inadequate literacy in a health care environment. A constellation of reading and numeracy skills required to function in the health care environment makes up functional health literacy. This includes: Reading prescription bottles Figuring out appointment slips Understanding informed consents Understanding discharge instructions Following diagnostic test instructions Reading health education materials Completing health insurance applications Finally, another simpler definition for health literacy is--the ability to use reading, writing, and computational skills at a level adequate to funtion in the health care setting. Hope this helps. You are to be lauded for considering the use of health literacy as part of your mission/vision statement and organizational goals. Good luck! Take care, Mark *************************************************************** Mark V. Williams, MD Associate Professor of Medicine Director, Hospital Medicine Unit Emory University School of Medicine Director, Center for Clinical Effectiveness Grady Health System 404-616-5287 Fax: 404-616-0747 -----Original Message----- From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov]On Behalf Of G4DNeri@aol.com Sent: Tuesday, August 22, 2000 5:16 PM To: Multiple recipients of list Subject: [NIFL-HEALTH:2531] Definition of "Health Literacy" I feel sure I have seen the answer to this question posted here before, but my computer hard drive crashed, and all the posts with such useful info. in them I'd saved are gone! What is your favorite definition of "health literacy"? My organization is working with the idea of using the term as part of our mission/vision statement and organizational goals, and are trying to find the best way to articulate the meaning clearly for non-professionals. Thanks! 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