A person’s degree of health literacy significantly influences their…

A person’s degree of health literacy significantly influences their ability to self-manage, participate in shared decision-making and benefit from patient education. Patients with lower literacy or numeracy skills are at greater risk for poor diabetes outcomes.13 Literacy and numeracy skills are not always obvious, but GPs may worry that attempting to evaluate them will be uncomfortable or embarrassing for patients. However, this concern is not supported by the evidence.14 It is appropriate to ask direct questions about a patient’s understanding of their medical conditions and to specifically ask what the take-home messages were from a consultation (reflective listening, or ‘teach-back’). A patient’s health literacy typically improves through self-education and contact with health providers.14

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