Ancker Jessica S, Kaufman David
Department of Biomedical Informatics, Vanderbilt Clinic Room 534, 622 W. 168th Street, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
J Am Med Inform Assoc. 2007 Nov-Dec;14(6):713-21. doi: 10.1197/jamia.M2464. Epub 2007 Aug 21.
The purpose of this review is to organize various published conceptions of health numeracy and to discuss how health numeracy contributes to the productive use of quantitative information for health. We define health numeracy as the individual-level skills needed to understand and use quantitative health information, including basic computation skills, ability to use information in documents and non-text formats such as graphs, and ability to communicate orally. We also identify two other factors affecting whether a consumer can use quantitative health information: design of documents and other information artifacts, and health-care providers' communication skills. We draw upon the distributed cognition perspective to argue that essential ingredients for the productive use of quantitative health information include not only health numeracy but also good provider communication skills, as well as documents and devices that are designed to enhance comprehension and cognition.
本综述的目的是梳理已发表的关于健康数字素养的各种概念，并探讨健康数字素养如何促进对健康相关定量信息的有效利用。我们将健康数字素养定义为理解和使用健康定量信息所需的个人层面技能，包括基本计算技能、使用图表等文档和非文本格式信息的能力以及口头沟通能力。我们还确定了影响消费者能否使用健康定量信息的另外两个因素：文档和其他信息制品的设计，以及医疗保健提供者的沟通技巧。我们借鉴分布式认知观点，认为有效利用健康定量信息的关键要素不仅包括健康数字素养，还包括良好的提供者沟通技巧，以及旨在增强理解和认知的文档和设备。
