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This section simply explains how good practice by Doctors could help improve Health Literacy amongst patients.
- Good Communication; speaking clearly in simple easy terms and avoiding Jargon.
- Its important to have a good basic understanding of the patient.
- Doctors should ensure that patients understand their consultation and can do so by using the 'teach back' technique.
- Emphasis should be laid on the doctor's ability to communicate with the patient. This helps to identify what explanations are most understood by the patients and vice versa.
- Conveying information using different methods other than verbally eg using multimedia and graphics.
- Patients should be given opportunities to ask questions not only at a consultation but also at a later date.
- Good Practice should be generalized even amongst people who are educated because they may also have low health literacy.

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CHALLENGES FOR HEALTH CARE PROFESSIONALS 

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CHALLENGES FOR HEALTH CARE PROFESSIONALS 

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-Different types of communication
-Current healthcare environments do recognise the needs of people with carried levels of health literacy.

HCP's need to be able to recognise and assess and support improve health literacy of people as an integrated part of clinical practice and prioritise those most in need e.g. Language Barries and Multi Morbidity

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3 levels of health literacy, Functional, Interactive & Critical

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3 levels of health literacy, Functional, Interactive & Critical

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Functional - basic skills e.g reading, writing. Differing literacy levels can be a barrier. 61%of people in UK find health literacy too complex - ethnicity, age and poverty levels are factors. low literacy levels see increased use of a&e services, and decreased levels of screening programs

Interactive- this is patient sharing the skills and confidence to question professionals or ask about options - this promotes shared decision making

Critical - gives patients oppurtunity to take control of wider determinents of health, transferring the balance of power accordingly. allows them to take action when they see barrier. Health care professionals aren't keen because they have less control

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-health literacy skill set is essential and an important determinant of health
-GP needs good communication skills to deliver services correctly and in a clear and manageable way
-patients need to be informed of how to access other support services and make use of them
-low health literacy is common in those with low basic skills. 43% of the English adult population cannot fully understand and use health information that is only text.
-written health literature and doctors spoken communication must be suitable for diverse levels of understanding of health literacy.
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- Some people may not be able to read, which means if they are a moving platform the people who can not read or write can not come back.

-Understanding and using the wide range of information relevant to health without feeling patronised.

-Understanding Abbreviations

-Difficulty assessing accuracy and provenance of healthy information

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- Patients with limited literacy may feel embarrassed to ask for further information or help which may contribute to poor health.
- Doctors use of unfamiliar words make it harder for patients to understand.
- Low health literacy can prevent people fully understanding the diagnosis they have been given.
- Adults with low level of literacy have increased rate of misunderstanding their medication instruction.
- When decisions are being made between patient and doctors, the patient must be given enough time and information to fully understand.

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3. WHAT CHALLENGES DOES HEALTH LITERACY BRING?

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3. WHAT CHALLENGES DOES HEALTH LITERACY BRING?

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8. INTERACTIVE AND CRITICAL HEALTH LITERACY

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8. INTERACTIVE AND CRITICAL HEALTH LITERACY

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11. THE NHS ENGLAND DIGITAL INCLUSION STRATEGY

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11. THE NHS ENGLAND DIGITAL INCLUSION STRATEGY