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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Facilitating Health Communication
with Immigrant, Refugee, and
Migrant Populations Through
the Use of Health Literacy and
Community Engagement Strategies

PROCEEDINGS OF A WORKSHOP

Joe Alper, Rapporteur
Roundtable on Health Literacy
Board on Population Health and Public Health Practice
Health and Medicine Division

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THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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This activity was partially supported by AbbVie Inc.; Aetna Foundation; Agency for Healthcare Research and Quality (HHSP23337024); American Dental Association; Bristol-Myers Squibb; East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Health Resources and Services Administration (HHSH25034011T); Humana; Institute for Healthcare Advancement; Merck Sharp & Dohme Corp.; National Institutes of Health (HHSN26300054); National Library of Medicine; Northwell Health; Office of Disease Prevention and Health Promotion (HHSP23337043); and UnitedHealth Group. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-46340-9
International Standard Book Number-10: 0-309-46340-8
Digital Object Identifier: https://doi.org/10.17226/24845

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating health communication with immigrant, refugee, and migrant populations through the use of health literacy and community engagement strategies: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24845.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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PLANNING COMMITTEE ON FACILITATING HEALTH COMMUNICATION WITH IMMIGRANT, REFUGEE, AND MIGRANT POPULATIONS THROUGH HEALTH LITERATE APPROACHES1

BERNARD ROSOF (Chair), Chief Executive Officer, Quality in Healthcare Advisory Group, LLC

GEM DAUS, Public Health Analyst, Office of Health Equity, Health Resources and Services Administration

JENNIFER DILLAHA, Medical Director for Immunizations, Medical Advisor, Health Literacy and Communication, Arkansas Department of Health

ALICIA FERNANDEZ, Professor of Clinical Medicine, Department of Medicine, Division of General Internal Medicine, University of California, San Francisco

MEGAN ROONEY, Director of Program Development, Health Literacy Media

UMAIR SHAH, Executive Director, Harris County Public Health

ALINA SHAW, Health Communication Specialist, Centers for Disease Control and Prevention

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

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
×

ROUNDTABLE ON HEALTH LITERACY1

BERNARD ROSOF (Chair), Chief Executive Officer, Quality in Healthcare Advisory Group, LLC

MARIN P. ALLEN, Deputy Associate Director for Communications and Public Liaison and Director of Public Information, National Institutes of Health

WILMA ALVARADO-LITTLE, Principal and Founder, Alvarado-Little Consulting, LLC

SUZANNE BAKKEN, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University

CINDY BRACH, Senior Health Policy Researcher, Agency for Healthcare Research and Quality

GEM DAUS, Public Health Analyst, Office of Health Equity, Health Resources and Services Administration

TERRY DAVIS, Professor of Medicine and Pediatrics, Louisiana State University Health Sciences Center

CHRISTOPHER DEZII, Director, Healthcare Quality and Performance Measures, Bristol-Myers Squibb

JENNIFER DILLAHA, Medical Director for Immunizations, Medical Advisor, Health Literacy and Communication, Arkansas Department of Health

JAMES (JAY) DUHIG, Head, Risk Communication and Behavioral Systems, Office of Patient Safety, AbbVie Inc.

ALICIA FERNANDEZ, Professor of Clinical Medicine, Department of Medicine, Division of General Internal Medicine, University of California, San Francisco

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

LORI HALL, Director of Health Literacy, U.S. Medical Staff, Eli Lilly and Company

LINDA HARRIS, Director, Division of Health Communication and ehealth Team, U.S. Department of Health and Human Services

BETSY L. HUMPHREYS, Acting Director, National Library of Medicine

LAURIE MYERS, Global Health Literacy Director, Merck Sharp & Dohme Corp.

CATINA O’LEARY, President and Chief Executive Officer, Health Literacy Media

MARYLYNN OSTROWSKI, Executive Director, Aetna Foundation

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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MICHAEL PAASCHE-ORLOW, Associate Professor of Medicine, Boston University School of Medicine

TERRI ANN PARNELL, Principal and Founder, Health Literacy Partners

KIM PARSON, Strategic Consultant, Proactive Care Strategies, Humana

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

ANDREW PLEASANT, Director of Canyon Ranch Institute and Global Health Literacy Research, Health Literacy Media

LINDSEY A. ROBINSON, Thirteenth District Trustee, American Dental Association

STACEY ROSEN, Associate Professor of Cardiology, Hofstra Northwell Health School of Medicine, and Vice President, Women’s Health, The Katz Institute for Women’s Health

RIMA RUDD, Senior Lecturer on Health Literacy, Education, and Policy, Harvard School of Public Health

STEVEN RUSH, Director, Health Literacy Innovations, UnitedHealth Group

MICHAEL VILLAIRE, Chief Executive Officer, Institute for Healthcare Advancement

EARNESTINE WILLIS, Kellner Professor in Pediatrics, Medical College of Wisconsin

MICHAEL WOLF, Professor, Medicine and Learning Sciences, Associate Division Chief, Research Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University

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

Consultant

RUTH PARKER, Professor of Medicine, Pediatrics, and Public Health, Emory University School of Medicine

Health and Medicine Division Staff

LYLA M. HERNANDEZ, Senior Program Officer

MELISSA FRENCH, Program Officer

ALEXIS WOJTOWICZ, Senior Program Assistant

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

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

JULIA ACKLEY, Sutter Center for Integrated Care, Sutter Health

SUSAN J. CURRY, The University of Iowa College of Public Health

GRACE M. LEE, Harvard Medical School and Boston Children’s Hospital

ANDREW PLEASANT, Canyon Ranch Institute, Health Literacy Media

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by Georges Benjamin, American Public Health Association. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
×

Acknowledgments

The sponsors of the National Academies of Sciences, Engineering, and Medicine’s Roundtable on Health Literacy made it possible to plan and conduct the workshop on health communication with immigrants, refugees, and migrant workers, which this publication summarizes. Federal sponsors include the Agency for Healthcare Research and Quality, Health Resources and Services Administration, National Institutes of Health, National Library of Medicine, and Office of Disease Prevention and Health Promotion at the U.S. Department of Health and Human Services. Nonfederal sponsorship was provided by AbbVie Inc., Aetna Foundation; American Dental Association; Bristol-Myers Squibb; East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Humana; Institute for Healthcare Advancement; Merck Sharp & Dohme Corp.; Northwell Health; and UnitedHealth Group.

The roundtable would like to thank each of the speakers, panelists, and panel moderators for their time and effort. Speakers, panelists, and moderators were, in alphabetical order, Suzanne Bakken, Jeffrey B. Caballero, Clifford Coleman, Alicia Fernandez, Paul Geltman, Anthony Iton, Iyanrick John, Mimi Kiser, Justine Kozo, Kari LaScala, Julia Liou, Hugo Morales, Nick Nelson, Liliana Osario, Henry R. Perea, Jesús E. Quiñones, Megan Rooney, Maricel G. Santos, and Rishi Sood.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Page xvii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Acronyms and Abbreviations

AAPCHO

Association of Asian Pacific Community Health Organizations

ACA

Patient Protection and Affordable Care Act

CDC

Centers for Disease Control and Prevention

EHR

electronic health record

ESL

English as a second language

GUIA

Guides for Understanding Information and Access

IDNYC

New York City identification card program

PRAPARE

Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences

PTSD

posttraumatic stress disorder

Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Page xvii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24845.
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The increasingly diverse ethnic composition of the United States population has created a profound and ongoing demographic shift, and public health and health care organizations face many challenges as they move to address and adapt to this change. To better understand how the public health and health care communities can meet the challenges of serving an increasingly diverse population, the Roundtable on Health Literacy conducted a public workshop on facilitating health communication with immigrant, refugee, and migrant populations through the use of health literate approaches. The goal of the workshop was to identify approaches that will enable organizations that serve these ethnically and culturally diverse populations in a manner that allows all members of these communities to obtain, process, and understand basic health information and the services needed to make appropriate health and personal decisions. This publication summarizes the presentations and discussions from the workshop.

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