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Since our purpose was to focus more on the aspect of health literate provider communication in the primary care practice, we focused more on the attributes 6 and 7 of the IOM framework, that deal with the actual application of health literacy skills through the organizational workforce [ 10].
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"I mean literally literate".
The tools also provided clarity to provider communication goals and used locally relevant graphics to enhance the engagement of low-literate women [ 34].
It is possible that CLD patients are attracted to unconventional providers – those providing extensive antibiotic regimens beyond current guidelines ('Lyme-literate medical doctors') and/or CAM providers due to the lack of symptomatic relief, as well as a perceived lack of sympathy to the diagnosis of CLD in more conventional settings.
It should be noted that from the outset, it was assumed, based upon knowledge of the setting, that the providers in the study context were literate in either English (Ghana), French (Burkina Faso), or Kiswahili (Tanzania).
Specifically, literate women as well as women for whom the provider had done the above rated the quality of nursing care more highly than illiterate women and women who had not benefitted from the respective actions by the provider.
The quality of provider-patient communication is another attribute of health literate health care organizations suggested to affect patient outcomes [ 6, 13– 16].
"Get literate.
"He is computer literate.
Nearly all Samoans are literate.
Literate people read fiction.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com