Apter Andrea J, Paasche-Orlow Michael K, Remillard Janine T, Bennett Ian M, Ben-Joseph Elana Pearl, Batista Rosanna M, Hyde James, Rudd Rima E
Department of Medicine, Division of Pulmonary, University of Pennsylvania, Philadelphia, PA, USA.
J Gen Intern Med. 2008 Dec;23(12):2117-24. doi: 10.1007/s11606-008-0803-x. Epub 2008 Oct 2.
Patient-centered interactive communication between physicians and patients is recommended to improve the quality of medical care. Numerical concepts are important components of such exchanges and include arithmetic and use of percentages, as well as higher level tasks like estimation, probability, problem-solving, and risk assessment--the basis of preventive medicine. Difficulty with numerical concepts may impede communication. The current evidence on prevalence, measurement, and outcomes related to numeracy is presented, along with a summary of best practices for communication of numerical information. This information is integrated into a hierarchical model of mathematical concepts and skills, which can guide clinicians toward numerical communication that is easier to use with patients.
建议医生与患者之间进行以患者为中心的互动交流，以提高医疗质量。数字概念是此类交流的重要组成部分，包括算术和百分比的使用，以及诸如估算、概率、问题解决和风险评估等更高层次的任务——这些是预防医学的基础。数字概念方面的困难可能会阻碍交流。本文介绍了有关数字素养的患病率、测量方法和结果的现有证据，以及数字信息交流的最佳实践总结。这些信息被整合到一个数学概念和技能的层次模型中，该模型可以指导临床医生进行更便于与患者交流的数字沟通。
