Fortunately, there has been a recent shift toward the understanding that health literacy is about the relationship between the skills of persons receiving care or treatment and the professionals or systems that are providing the care and treatment. An individual's health literacy skills are dynamic and change over time depending on the context, changes in individ• ual skills and experiences, or changes in the health care system. Health literacy continues to be an evolving concept that has more recently been viewed as a crosscutting priority in the delivery of safe, quality health care.