Jany Rademakers|Monique Heijmans
Beyond Reading and Understanding: Health Literacy as the Capacity to Act
Maastricht University|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research
many health literacy interventions limited focus functionalcognitive skills psychosocial models capacity act however seen major driver behavioural change aspect often lacking health literacy concepts study examine impact aspects health literacy functionalcognitive capacity act specific healthcare outcomes healthcare use experiences patientcentered care shareddecision making selfmanagement sample national panel people chronic disease npcd questions health literacy patient activation outcomes asked results indicated 399 limited hl levels 369 low activation score combined 227 sample scored low aspects whereas 458 adequate levels patients score low use healthcare less positive experiences patientcentered care shared decision making selfmanagement patients adequate competency levels respects best outcomes cognitive noncognitive aspects health literacy important enhance capacity act especially important extent people feel able selfmanage