Laurie T. Martin|Matthias Schonlau|Ann Haas|Kathryn Pitkin Derose|Lindsay Rosenfeld|Stephen L. Buka|Rima Rudd
Patient Activation and Advocacy: Which Literacy Skills Matter Most?
RAND Corporation
attention effect patients literacy skills health care interactions relatively new studies either structural personal factors inhibit support patients ability navigate health services systems advocate needs within service delivery system contributions structural environment interpersonal dynamics variety psychological sociological factors relationship patients providers long study less frequently examined advocacy role expected patients however complex nature health care united states increasingly requires proactive stance study examined whether four literacy skills reading numeracy speaking listening associated patient selfadvocacya component health literacy itselfwhen faced hypothetical barrier scheduling medical appointment although literacy skills significantly associated advocacy examined isolation greater speaking listening skills remained significantly associated better patient advocacy four skills examined simultaneously findings suggest speaking listening skills support skills may important factors consider developing patient activation advocacy skills