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For the prince and his pianist daughter Wanda, he composed his Introduction and Polonaise brillante in C major for cello and piano, Op. Back in Warsaw that year, Chopin heard Niccolò Paganini play the violin, and composed a set of variations, Souvenir de Paganini.
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The ramifications for people with low to moderate healthcare literacy skills include the inability to assume positive self management, higher medical costs due to more medication and treatment errors, more frequent hospitalizations, longer hospital stays, more visits to their healthcare provider, and a lack of necessary skills to obtain needed services (National Academy on an Aging Society).

Despite the enormous implications of low health literacy, there remains a significant amount of confusion surrounding the concept and its implications for healthcare professionals.

Health literacy is a dynamic process that involves both the patient and the provider (Paasche-Orlow & Wolf, 2007).

Inadequate health literacy is more prevalent among vulnerable populations, such as the elderly, minorities, persons with lower education, and persons with chronic disease (De Walt et al.).

When the provider is different from the patient in terms of age, ethnic background, education, and socio-economic status, it may be difficult for the patient to feel comfortable asking questions or disclosing personal health information.

Additionally, time is often in short supply during medical interviews and examinations, as pressures continue to mount for healthcare providers to increase the number of patients they see each day.The term health literacy was introduced in 1974 in a paper calling for minimum health education standards for all grade-school levels in the United States (US) (National Library of Medicine, 2000).However, widespread attention to the concept did not emerge until the publication of the 1992 National Assessment of Adult Literacy (NAAL).Without accessible information, there is no basis by which an individual, organization, or community can process messages to improve health outcomes.Because information accessibility is closely related to communication channels, i.e., the methods by which people receive messages, this section will overview how people obtain information through healthcare providers, print sources, and the Internet.Although health literacy is a concept new to many members of the healthcare community, it has quickly caught the attention of researchers, policy makers, and clinicians due to its widespread impact on health and well-being.