Numeracy and Communication with Patients: They Are Counting on Us

被引：98

作者：

Apter, Andrea J. ^{[1
]}

Paasche-Orlow, Michael K. ^{[2
]}

Remillard, Janine T. ^{[3
]}

Bennett, Ian M. ^{[4
]}

Ben-Joseph, Elana Pearl ^{[5
]}

Batista, Rosanna M. ^{[6
]}

Hyde, James ^{[7
]}

Rudd, Rima E. ^{[8
]}

机构：

[1] Univ Penn, Dept Med, Div Pulm Allergy Crit Care Med, Philadelphia, PA 19104 USA

[2] Boston Univ, Sch Med, Dept Med, Gen Internal Med Sect, Boston, MA 02118 USA

[3] Univ Penn, Grad Sch Educ, Philadelphia, PA 19104 USA

[4] Univ Penn, Dept Family Med & Community Hlth, Philadelphia, PA 19104 USA

[5] Alfred I DuPont Hosp Children, Nemours Ctr Childrens Hlth Media, Wilmington, DE USA

[6] Childrens Hosp, Res Study Coordinator, Boston, MA 02115 USA

[7] Tufts Univ, Sch Med, Dept Publ Hlth & Family Med, Boston, MA 02111 USA

[8] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2008年 / 23卷 / 12期

关键词：

numeracy; health literacy; health communication; risk;

D O I：

10.1007/s11606-008-0803-x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Patient-centered interactive communication between physicians and patients is recommended to improve the quality of medical care. Numerical concepts are important components of such exchanges and include arithmetic and use of percentages, as well as higher level tasks like estimation, probability, problem-solving, and risk assessment - the basis of preventive medicine. Difficulty with numerical concepts may impede communication. The current evidence on prevalence, measurement, and outcomes related to numeracy is presented, along with a summary of best practices for communication of numerical information. This information is integrated into a hierarchical model of mathematical concepts and skills, which can guide clinicians toward numerical communication that is easier to use with patients.

引用

页码：2117 / 2124

页数：8

共 88 条

[1]

Aggarwal A, 2007, AM J HEALTH BEHAV, V31, pS57

[2] Rethinking health numeracy: A multidisciplinary literature review [J].

Ancker, Jessica S. ;

Kaufman, David .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2007, 14 (06) :713-721

[3] Design features of graphs in health risk communication: A systematic review [J].

Ancker, Jessica S. ;

Senathirajah, Yalini ;

Kukafka, Rita ;

Starren, Justin B. .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2006, 13 (06) :608-618

[4]

[Anonymous], 1993, WIDE RANGE ACHIEVEME

[5] Asthma numeracy skill and health literacy [J].

Apter, Andrea J. ;

Cheng, Jing ;

Small, Dylan ;

Bennett, Ian M. ;

Albert, Claire ;

Fein, Daniel G. ;

George, Maureen ;

Van Horne, Simone .

JOURNAL OF ASTHMA, 2006, 43 (09) :705-710

[6] Effect of framing as gain versus loss on understanding and hypothetical treatment choices: Survival and mortality curves [J].

Armstrong, K ;

Schwartz, JS ;

Fitzgerald, G ;

Putt, M ;

Ubel, PA .

MEDICAL DECISION MAKING, 2002, 22 (01) :76-83

[7] Development of a brief test to measure functional health literacy [J].

Baker, DW ;

Williams, MV ;

Parker, RM ;

Gazmararian, JA ;

Nurss, J .

PATIENT EDUCATION AND COUNSELING, 1999, 38 (01) :33-42

[8] Functional health literacy and the risk of hospital admission among Medicare managed care enrollees [J].

Baker, DW ;

Gazmararian, JA ;

Williams, MV ;

Scott, T ;

Parker, RM ;

Green, D ;

Ren, JL ;

Peel, J .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (08) :1278-1283

[9] Association of numeracy and diabetes control [J].

Cavanaugh, Kerri ;

Huizinga, Mary Margaret ;

Wallston, Kenneth A. ;

Gebretsadik, Tebeb ;

Shintani, Ayumi ;

Davis, Dianne ;

Gregory, Rebecca Pratt ;

Fuchs, Lynn ;

Malone, Robb ;

Cherrington, Andrea ;

Pignone, Michael ;

DeWalt, Darren A. ;

Elasy, Tom A. ;

Rothman, Russell L. .

ANNALS OF INTERNAL MEDICINE, 2008, 148 (10) :737-U40

[10] GRAPHICAL PERCEPTION AND GRAPHICAL METHODS FOR ANALYZING SCIENTIFIC-DATA [J].

CLEVELAND, WS ;

MCGILL, R .

SCIENCE, 1985, 229 (4716) :828-833

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