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7 Where Do We Go from Here?
Pages 81-90

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From page 81...
... He also stated that everyone at this workshop, regardless of what sector they come from, contributes to health literacy and has a role to play in moving the field forward. The Journal of Health Communication, he explained, has published several supplements specifically on health literacy and also recently pub 1  This section is based on the presentation by Scott Ratzan, vice president of global corporate affairs at Anheuser-Busch InBev, and the statements are not endorsed or verified by the IOM.
From page 82...
... He also said that health literacy has now become a strategic tool that is used in global organizations to maintain and generate coherence and coordina­ion among multispectral programs, particularly because the t United Nations held a regional meeting of the Economic and Social Committee in Beijing. Since then, health literacy has been included in three United Nations resolutions and has been integrated into national action plans of China and other countries.
From page 83...
... Another opportunity for the community is to take advantage of mobile technologies to enhance health literacy. Mobile telecommunications, he said, can bridge the global health gap and bring health and health information to millions of people.
From page 84...
... He believes, for example, that it would be great to have a new IOM consensus report on health literacy that included recommendations for integrating in the new health system the use of new technologies and for including health literacy in the ACA. He also proposed elevating health literacy models for social and behavior change with effective communication training to change social norms and to link with key organizations and institutions.
From page 85...
... She remarked that "one of the oldest tenets in the field of health education in public health is that you do rigorous work, you do rigorous formative research, you do rigorous piloting, and you engage with members of the intended audience to help identify the problems and help generate the solutions," said Rosen. "We don't seem to be doing that." What happens, she said, is that an occasional innovative program does do that, but that then does not become the baseline for rigor or engagement with the intended audience.
From page 86...
... standards, particularly as the United States becomes a majority/minority country and needs to be aware of those standards and implement them into health, health care, and social services. She also commented on Gerald McEvoy's remarks that drugs can have different names depending on an individual's country of origin.
From page 87...
... Isham also reiterated the points that health literacy should consider the context of what a good day means to the intended audience for health information, that the field is moving to broaden its horizons beyond health care to community health, and that health literacy is just one piece of a complex systems issue. Laurie Myers, leader of health care disparities and health literacy strategy at Merck & Co., Inc., reinforced the message that health literacy will advance when it is integrated with other things that are important to health organizations.
From page 88...
... What needs to happen, though, is for the health literacy community to do a better job disseminating its knowledge throughout the health care enterprise. Ruth Parker, commenting on Ratzan's call for a new IOM report on integrating health literacy into a new health system, asked if he thought whether emphasizing the role of technology as a means of simplifying health messages and messaging would help secure funding for such a report.
From page 89...
... He noted that all of the big technology companies are looking for ways to get a piece of the health care pie, but the key will be to get the health and health care communities leading where technology should go rather than the other way around. Isham's take from the discussions about complexity is that in order to get simplicity, it is necessary to understand the causes of complexity at a more robust level, which is a place for academic research.
From page 90...
... While she agreed with Rosof that culture eats strategy for lunch, she noted that "you can't start with culture change." What then, she asked, are the policy levers that have to be pulled to really get to a tipping point and get past it? In her mind, said Brach, "we need to link health literacy and cultural competence to patient safety, because that is what everyone is paying attention to," particularly with the emphasis on patient-centered care, self-management, and shared decision making.


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