Evangelista et al used a simple scheme to classify a patient's health literacy. This can be expanded to cover other elements of comprehension.
Parameters:
(1) health literacy
(2) vision
(3) language comprehension
(4) other cognitive factors (anxiety, etc)
Capabilities
Category
above average
excellent
average
adequate
mild limitations
marginal
severe limitations
low
where:
• Excellent was added as a category.
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Purpose: To evaluate a patient's ability to read and comprehend health-related forms and instructions.
Objective: severity, prognosis, stage, public health
ICD-10: Z55.0, Z55.8,