Health literacy: applying current concepts to improve ... · health (referred to as critical health literacy).5 Health literacy assessment can be used to improve clinical service
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p u b l i c h e a l t h 1 3 2 ( 2 0 1 6 ) 3e1 2
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Public Health
journal homepage: www.elsevier .com/puhe
Review Paper
Health literacy: applying current concepts toimprove health services and reduce healthinequalities
R.W. Batterham a,b, M. Hawkins a, P.A. Collins c, R. Buchbinder d,e,R.H. Osborne a,*
a Deakin University, Health Systems Improvement Unit, Centre for Population Health Research, School of Health and
Social Development, Geelong, Victoria, Australiab Health Systems Research Institute, Nonthaburi, Thailandc Person Centred Care, NHS Englandd Monash Department of Clinical Epidemiology, Cabrini Institute, Australiae Department of Epidemiology and Preventive Medicine, School of Public Health & Preventive Medicine, Monash
Fig. 2 e Ophelia Access and Equity Framework e Health literacy related barriers to access at different levels of engagement.
Source: Batterham et al., 2014.27
Fig. 3 e An integrative framework for health literacy.
p u b l i c h e a l t h 1 3 2 ( 2 0 1 6 ) 3e1 2 11
of health literacy will lead to a better understanding of
the needs of individuals or at-risk populations, and can
identify particular areas of focus for care-planning,
problem-solving, training or intervention development.
Improving clinical, community and population health
responses to low health literacy has enormous potential to
increase access to health care, improve health outcomes
and advance health equity.
Author statements
Acknowledgements
This is an invited review which has been subject to peer
review.
Ethical approval
None sought.
Funding
Richard Osborne is funded in part through a National Health
and Medical Research Council (NHMRC) Senior Research
Fellowship #APP1059122. Rachelle Buchbinder is funded by an
NHMRC Senior Principal Research Fellowship #APP1082138.
Competing interest
The authors have no competing interests.
Author contributions
Richard Osborne and Roy Batterham conceived the paper, and
with Rachelle Buchbinder, developed the first draft. Melanie
Hawkins and Alf Collins then contributed to extensive re-
visions. All authors approved the final revision of the
manuscript.
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