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First published August 21, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2464
Journal of the American Medical Informatics Association 2007;14(6):713-721
© 2007 American Medical Informatics Association


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Submitted on April 2, 2007
Accepted on August 7, 2007

Rethinking Health Numeracy: A Multidisciplinary Literature Review

Jessica S. Ancker MPH1* and David Kaufman PhD2

Affiliation of the authors: 1 Department of Biomedical Informatics, Columbia University College of Physicians and Surgeons, New York, NY ; 2 Department of Biomedical Informatics, Columbia University College of Physicians and Surgeons, New York, NY; New York State Psychiatric Institute, New York, NY

* To whom correspondence should be addressed.

The purpose of this review is to organize various published conceptions of health numeracy and to discuss how health numeracy contributes to the productive use of quantitative information for health. We define health numeracy as the individual-level skills needed to understand and use quantitative health information, including basic computation skills, ability to use information in documents and non-text formats such as graphs, and ability to communicate orally. We also identify two other factors affecting whether a consumer can use quantitative health information: design of documents and other information artifacts, and health-care providers' communication skills. We draw upon the distributed cognition perspective to argue that essential ingredients for the productive use of quantitative health information include not only health numeracy but also good provider communication skills, as well as documents and devices that are designed to enhance comprehension and cognition.







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