Journal of General Internal Medicine

, Volume 21, Issue 8, pp 888–890 | Cite as

Teaching about health literacy and clear communication

  • Sunil KripalaniEmail author
  • Barry D. Weiss

Key words

health literacy medical education physician-patient communication 


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  1. 1.
    Weiss BD, Reed RL, Kligman EW. Literacy skills and communication methods of low-income older persons. Patient Educ Couns. 1995;25:109–19.PubMedCrossRefGoogle Scholar
  2. 2.
    Gibbs R, Gibbs P, Henrich J. Patient understanding of commonly used medical vocabulary. J Fam Pract. 1987;25:176–8.PubMedGoogle Scholar
  3. 3.
    Ong LM, de Haes JC, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995;40:903–18.PubMedCrossRefGoogle Scholar
  4. 4.
    Schillinger D, Bindman AB, Wang F, Stewart AL, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004;52:315–23.PubMedCrossRefGoogle Scholar
  5. 5.
    Calkins DR, Davis RB, Reiley P, et al. Patient-physician communication at hospital discharge and patients’ understanding of the postdischarge treatment plan. Arch Intern Med. 1997;157:1026–30.PubMedCrossRefGoogle Scholar
  6. 6.
    Makaryus AN, Friedman EA. Patients’ understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005;80:991–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Weiss BD, Coyne C. Communicating with patients who cannot read. N Engl J Med. 1997;337:272–4.PubMedCrossRefGoogle Scholar
  8. 8.
    Parikh NS, Parker RM, Nurss JR, Baker DW, Williams MV. Shame and health literacy: the unspoken connection. Patient Educ Couns. 1996;27:33–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Bass PF III, Wilson JF, Griffith CH, Barnett DR. Residents’ ability to identify patients with poor literacy skills. Acad Med. 2002;77:1039–41.PubMedCrossRefGoogle Scholar
  10. 10.
    Powell CK, Kripalani S. Resident recognition of low literacy as a risk factor in hospital readmission. J Gen Intern Med. 2005;20:1042–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Seligman HK, Wang FF, Palacios JL, et al. Physician notification of their diabetes patients’ limited health literacy. A randomized, controlled trial. J Gen Intern Med. 2005;20:1001–7.PubMedCrossRefGoogle Scholar
  12. 12.
    American Medical Association Council on Scientific Affairs. Health literacy. JAMA. 1999;281:552–7.CrossRefGoogle Scholar
  13. 13.
    Institute of Medicine. Health Literacy. A Prescription to End Confusion. Washington, DC: National Academies Press; 2004.Google Scholar
  14. 14.
    National Work Group on Literacy and Health. Communicating with patients who have limited literacy skills. J Fam Pract. 1998;46:168–76.Google Scholar
  15. 15.
    Weiss BD. Health Literacy: A Manual for Clinicians. Chicago: American Medical Association; 2003.Google Scholar
  16. 16.
    Doak CC, Doak LG, Root JH. Teaching Patients with Low Literacy Skills. 2nd edn. Philadelphia: JB Lippincott Co; 1998.Google Scholar
  17. 17.
    Schwartzberg JG, VanGeest JB, Wang CC. Understanding Health Literacy: Implications for Medicine and Public Health. Chicago: American Medical Association Press; 2005.Google Scholar
  18. 18.
    Selden CR, Zorn M, Ratzan S, Parker RM. Current Bibliographies in Medicine: Health Literacy. Bethesda, MD: National Library of Medicine; 2000.Google Scholar
  19. 19.
    Kutner M, Greenberg E, Baer J. National Assessment of Adult Literacy (NAAL). A first look at the literacy of America’s adults in the 21st century. Available at: Accessed May 2, 2006.Google Scholar
  20. 20.
    Baker DW, Parker RM, Williams MV, et al. The health care experience of patients with low literacy. Arch Fam Med. 1996;5:329–34.PubMedCrossRefGoogle Scholar
  21. 21.
    DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004;19:1129–39.CrossRefGoogle Scholar
  22. 22.
    Sudore RL, Landefeld CS, Williams B, Barnes D, Lindquist K, Schillinger D. Use of a modified informed consent process among vulnerable patients: a descriptive study. J Gen Intern Med. 2006;21:867–73.PubMedCrossRefGoogle Scholar
  23. 23.
    Kripalani S, Bengtzen R, Henderson LE, Robertson R, Jacobson TA. Literacy affects comprehension of even simplified informed consent. J Gen Intern Med. 2006;21(S4):81.Google Scholar
  24. 24.
    Kripalani S, Litle H, Bengtzen R, Robertson R, Jacobson TA. Association between literacy and hypertension control. J Gen Intern Med. 2006;21(S4):16–7.Google Scholar
  25. 25.
    Mancuso CA, Rincon M. Impact of health literacy on longitudinal asthma outcomes. J Gen Intern Med. 2006;21:813–7.PubMedCrossRefGoogle Scholar
  26. 26.
    Wolf MS, Feinglass JM, Carrion V, Gazmararian J, Baker DW. Literacy and mortality among Medicare enrollees. J Gen Intern Med. 2006;21(S4):81.Google Scholar
  27. 27.
    Sudore RL, Yaffe K, Satterfield S, et al. Limited literacy and mortality in the elderly: the Health, Aging, and Body Composition Study. J Gen Intern Med. 2006;21:806–12.PubMedCrossRefGoogle Scholar
  28. 28.
    Mayeaux EJ, Murphy PW, Arnold C, Davis TC, Jackson RH, Sentell T. Improving education for patients with low literacy skills. Am Fam Physician. 1996;53:205–11.PubMedGoogle Scholar
  29. 29.
    Williams MV, Davis TC, Parker RM, Weiss BD. The role of health literacy in patient-physician communication. Fam Med. 2002;34:383–9.PubMedGoogle Scholar
  30. 30.
    Schillinger D, Piette J, Grumbach K, et al. Closing the loop. Physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003;163:83–90.PubMedCrossRefGoogle Scholar
  31. 31.
    National Quality Forum. Safe Practices for Better Healthcare. Washington, DC: National Quality Forum; 2003.Google Scholar
  32. 32.
    Davidson R, Duerson M, Rathe R, Pauly R, Watson RT. Using standardized patients as teachers: a concurrent controlled trial. Acad Med. 2001;76:840–3.PubMedCrossRefGoogle Scholar
  33. 33.
    Howley LD. Utilizing standardized patients to enhance health literacy communication skills: the development phase. Educ Primary Care. 2004;15:123–4.Google Scholar
  34. 34.
    Dalton C. Building a health literacy curriculum, University of Virginia. Available at: Accessed May 3, 2006.Google Scholar
  35. 35.
    Williams MV, Baker DW, Honig EG, Lee TM, Nowlan A. Inadequate literacy is a barrier to asthma knowledge and self-care. Chest. 1998;114:1008–15.PubMedGoogle Scholar
  36. 36.
    Wallace LS, Roskos SE, Weiss BD. Readability characteristics of consumer medication information for asthma inhalation devices. J Asthma. 2006 (in press).Google Scholar

Copyright information

© Society of General Internal Medicine 2006

Authors and Affiliations

  1. 1.Emory University School of MedicineAtlantaUSA
  2. 2.University of Arizona College of MedicineTucsonUSA

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