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Health Literacy and Numeracy: Workshop Summary (2014)

Chapter: Front Matter

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
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Health Literacy
and Numeracy

WORKSHOP SUMMARY

Melissa G. French, Rapporteur

Roundtable on Health Literacy

Board on Population Health and Public Health Practice

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

THE NATIONAL ACADEMIES PRESS    500 Fifth Street, NW    Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by contracts between the National Academy of Sciences and the Agency for Healthcare Research and Quality (HHSP233200900537P); the American College of Physicians Foundation; America’s Health Insurance Plans; the California Dental Association; the East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; the Health Resources and Services Administration (HHSH25034004T); Humana; Johnson & Johnson; Merck and Co., Inc.; the North Shore–Long Island Jewish Health System; the Office of Disease Prevention and Health Promotion; and the UnitedHealth Group. The views presented in this publication are those of the rapporteur and do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-29980-0
International Standard Book Number-10: 0-309-29980-2

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2014 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

Knowing is not enough; we must apply.
Willing is not enough; we must do.
”      

                                                —Goethe

image

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
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PLANNING COMMITTEE ON HEALTH LITERACY AND NUMERACY1

ANDREA APTER, Professor of Medicine, University of Pennsylvania

SUSAN PISANO, Vice President of Communications, America’s Health Insurance Plans

LYNN QUINCY, Senior Policy Analyst, Consumers Union

RIMA RUDD, Department of Society, Human Development and Health, Harvard School of Public Health

STEVEN RUSH, Director, Health Literacy Innovations Program, UnitedHealth Group

WINSTON F. WONG, Medical Director, Community Benefit, Disparities Improvement and Quality Initiatives, Kaiser Permanente

_____________

1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
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Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

ROUNDTABLE ON HEALTH LITERACY1

GEORGE ISHAM (Chair), Medical Director and Chief Health Officer, HealthPartners

WILMA ALVARADO-LITTLE, Director, Community Engagement/Outreach Center for the Elimination of Minority Health Disparities, University of Albany

CINDY BRACH, Senior Health Policy Researcher, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality

GEMIRALD DAUS, Public Health Analyst, Health Resources and Services Administration Office of Health Equity, U.S. Department of Health and Human Services

DARREN DEWALT, Associate Professor of Medicine, University of North Carolina at Chapel Hill

BENARD P. DREYER, Professor of Pediatrics, New York University School of Medicine, and Chair, American Academy of Pediatrics Health Literacy Program Advisory Committee

ELIZABETH FOWLER, Vice President, Global Health Policy, Johnson & Johnson

LAURIE FRANCIS, Senior Director of Clinic Operations and Quality, Oregon Primary Care Association

LORI HALL, Consultant, Health Education, Eli Lilly and Company

LINDA HARRIS, Team Leader, Health Communication and eHealth Team, Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services

BETSY L. HUMPHREYS, Deputy Director, National Library of Medicine, National Institutes of Health

MARGARET LOVELAND, Global Medical Affairs, Merck & Co., Inc.

PATRICK McGARRY, Assistant Division Director, Scientific Activities Division, American Academy of Family Physicians

RUTH PARKER, Professor of Medicine, Emory University School of Medicine

TERRI ANN PARNELL, Vice President, Health Literacy and Patient Education, North Shore–Long Island Jewish Health System

KIM PARSON, Consumer Experience, Humana, Inc.

KAVITA PATEL, Managing Director for Clinical Transformation and Delivery, The Brookings Institution

_____________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
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CLARENCE PEARSON, Consultant, Global Health Leadership and Management

SUSAN PISANO, Vice President of Communications, America’s Health Insurance Plans

ANDREW PLEASANT, Health Literacy and Research Director, Canyon Ranch Institute

LINDSEY ROBINSON, President, California Dental Association

RIMA RUDD, Department of Society, Human Development and Health, Harvard School of Public Health

STEVEN RUSH, Director, Health Literacy Innovations Program, UnitedHealth Group

PAUL M. SCHYVE, Senior Vice President, The Joint Commission

PATRICK WAYTE, Vice President, Marketing and Health Education, American Heart Association

WINSTON F. WONG, Medical Director, Community Benefit, Disparities Improvement and Quality Initiatives, Kaiser Permanente

IOM Staff

LYLA M. HERNANDEZ, Roundtable Director

MELISSA G. FRENCH, Associate Program Officer

ANDREW LEMERISE, Research Associate

ANGELA MARTIN, Senior Program Assistant

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

CRYSTAL DURAN, Clinical Program Manager, Customer Experience, Cigna

ELIZABETH HAHN, Associate Professor, Department of Medical Social Sciences, Northwestern University

AILEEN KANTOR, Vice President, Marketing, Health Literacy Innovations

SUSAN PISANO, Vice President of Communications, America’s Health Insurance Plans

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

was overseen by Georges Benjamin, American Public Health Association. Appointed by the National Research Council, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
×

Acknowledgments

The sponsors of the Institute of Medicine Roundtable on Health Literacy made it possible to plan and conduct the workshop, Health Literacy and Numeracy. Sponsors from the U.S. Department of Health and Human Services are the Agency for Healthcare Research and Quality; the Health Resources and Services Administration; and the Office of Disease Prevention and Health Promotion. Non-federal sponsorship was provided by the American College of Physicians Foundation; America’s Health Insurance Plans; the California Dental Association; the East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Humana; Johnson & Johnson; Merck and Co., Inc.; the North Shore–Long Island Jewish Health System; and the UnitedHealth Group.

The roundtable wishes to express its gratitude to the following speakers for their interesting and thoughtful presentations: Jessica Ancker, Andrea Apter, Terry Davis, Lynda Ginsburg, Marguerite Holloway, Robert Krughoff, Ellen Peters, Lynn Quincy, Michael Wolf, and Brian Zikmund-Fisher. The roundtable also wishes to extend its appreciation to the planning committee members: Andrea Apter, Susan Pisano, Lynn Quincy, Rima Rudd, Steven Rush, and Winston Wong.

Suggested Citation:"Front Matter." Institute of Medicine. 2014. Health Literacy and Numeracy: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18660.
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Health Literacy and Numeracy: Workshop Summary Get This Book
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Although health literacy is commonly defined as an individual trait, it does not depend on the skills of individuals alone. Health literacy is the product of the interaction between individuals' capacities and the health literacy-related demands and complexities of the health care system. Specifically, the ability to understand, evaluate, and use numbers is important to making informed health care choices.

Health Literacy and Numeracy is the summary of a workshop convened by The Institute of Medicine Roundtable on Health Literacy in July 2013 to discuss topics related to numeracy, including the effects of ill health on cognitive capacity, issues with communication of health information to the public, and communicating numeric information for decision making. This report includes a paper commissioned by the Roundtable, "Numeracy and the Affordable Care Act: Opportunities and Challenges," that discusses research findings about people's numeracy skill levels; the kinds of numeracy skills that are needed to select a health plan, choose treatments, and understand medication instructions; and how providers should communicate with those with low numeracy skills. The paper was featured in the workshop and served as the basis of discussion.

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