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Better Doctors, Better Patients, Better DecisionsEnvisioning Health Care 2020$
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Gerd Gigerenzer and J.A. Muir Gray

Print publication date: 2011

Print ISBN-13: 9780262016032

Published to MIT Press Scholarship Online: May 2016

DOI: 10.7551/mitpress/9780262016032.001.0001

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PRINTED FROM MIT PRESS SCHOLARSHIP ONLINE (www.mitpress.universitypressscholarship.com). (c) Copyright The MIT Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in MITSO for personal use.date: 27 May 2022

Barriers to Health Information and Building Solutions

Barriers to Health Information and Building Solutions

(p.191) 12 Barriers to Health Information and Building Solutions
Better Doctors, Better Patients, Better Decisions

Talya Miron-Shatz

Ingrid Mühlhauser

Bruce Bower

Michael Diefenbach

Ben Goldacre

Richard S. W. Smith

David Spiegelhalter

Odette Wegwarth

The MIT Press

Most stakeholders in the health care system—doctors, patients, and policy makers—have not been taught to apply evidence-based information to the many decisions that must be made daily. Little awareness of this problem exists, yet a better use of evidence could improve outcomes for patients, increase patient satisfaction, and lower costs. This chapter considers how the use of information that emerges from evidence-based medicine could be improved. Health literacy is the first step. After a discussion of the barriers that exist to health literacy, possible remedies are presented. Raising health literacy by targeting individual stakeholder groups is debated as is the option of focusing on change in the overall health system. What is required to achieve a change both at the individual and system levels? Solutions are unlikely to generate systemic changes in center-based treatment variations. However, a change at one level may set off change in another. Finally, increasing awareness beyond the immediate professional community is necessary if systemic changes are to be made. The promotion of health literacy requires careful consideration to reach the various stakeholders throughout the health care system.

Keywords:   Strüngmann Forum Reports, communication strategies, conflicts of interest, evidence-based medicine, health care journalism, health literacy, standardized reporting

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