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J Am Med Inform Assoc 14:713-721 doi:10.1197/jamia.M2464
  • The Practice of Informatics

Rethinking Health Numeracy: A Multidisciplinary Literature Review

Table 1

Factors Contributing to a Patient’s Ability to Use Quantitative Information for Health

Factor Definition Examples
Patients’ quantitative skills basic computational skills (such as addition, multiplication, and use of simple formulas), estimation, and statistical literacy computing calorie content; comparing computation to estimate to determine whether it is correct; understanding concept of randomization in a clinical trial
Patients’ ability to use information artifacts ability to navigate documents, interpret graphs, and translate between different representations of the same information obtaining nutrient information from a nutrition label; comparing personal health data as displayed on different meters or devices
Patients’ oral communication skills ability to speak clearly about quantities and understand spoken information reporting a previous medication regimen accurately to a new physician
Information design for patients arrangement of information media and symbols to support comprehension and cognition designing a patient interface for an electronic health record that provides graphics to illustrate numerical information
Providers’ oral communication skills ability to communicate quantitative concepts clearly to the patient explaining a new medication regimen to a patient in an understandable fashion
Providers’ quantitative skills basic computational skills, estimation, and statistical literacy converting between units of measure; understanding the positive predictive power of a diagnostic test
Providers’ ability to use information artifacts ability to navigate documents, interpret graphs, translate between representations of the same information interpreting a graph of patient lab values over time; applying the numerical output of a decision support system to an individual case
Information design for providers ability of a system or document to support the provider’s cognition designing a provider interface that provides automated conversions between units of measure

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