Christian Heuser|Annika Diekmann|Christoph Kowalski|Anna Enders|Rupert Conrad|Holger Pfaff|Lena Ansmann|Nicole Ernstmann
Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach
University Hospital Bonn|University Hospital Bonn|German Cancer Society|Fischer (Germany)|Federal Centre for Health Education|University Hospital Bonn|University of Cologne|Carl von Ossietzky Universität Oldenburg|University Hospital Bonn
decisions made multidisciplinary tumor conferences mtc consider patient preferences result better patient outcomes furthermore shown breast cancer centers germany patients participate mtcs participation associated sociodemographic breast cancer centerrelated factors health literacy hl shown predictive individual health behavior important prerequisite patient participation healthcare however far nothing known association hl mtc patient participation close gap research analyzed patient characteristics affect participation mtcs whether participation varies breast cancer centersin prospective multicenter cohort study newly diagnosed breast cancer patients surveyed directly surgery t1 well 10 weeks t2 40 weeks t3 surgery descriptive analysis ttests conducted correlations independent variables run logistic multilevel regression analysis applied estimate association patient participation mtcs t1 hl hlseuq16 1 sociodemographic diseaserelated characteristics n 863 patients variation breast cancer centers n 43 centersdescriptive results show 68 breast cancer patients took part mtc logistic multilevel regression model revealed patients inadequately hl less likely participate mtcs 031 95ci 0109 pseudor2 006 participation dependent breast cancer center icc 0161these findings first show significant differences hl patient participation mtcs large sample breast cancer patients future research patient participation mtcs hl questions concerning organization communication decisionmaking mtcs without patient participation addressed patient provider perspectives must equally considereddatabase health services research vfdpiat12001630 registered prospectively 01032012