Kimberly A. Kaphingst|Nancy L. Weaver|Ricardo J. Wray|Melissa Brown|Trent D. Buskirk|Matthew W. Kreuter
Effects of patient health literacy, patient engagement and a system-level health literacy attribute on patient-reported outcomes: a representative statewide survey
Washington University in St. Louis|Saint Louis University|Saint Louis University|Washington University in St. Louis|Saint Louis University|Washington University in St. Louis
effects health literacy thought based interactions patients skill levels health care system demands little health literacy research focused attributes health care organizations examined whether attribute individuals experiences front desk staff patient engagement bringing questions doctor visit health literacy skills related two patientreported outcomeswe administered telephone survey two sampling frames ie household landline cell phone numbers randomly selected statewide sample 3358 englishspeaking adult residents missouri examined two patientreported outcomes whether respondents reported knowing health made better choices health following last doctor visit multivariable logistic regression models used examine independent contributions predictor variables ie front desk staff bringing questions doctor visit health literacy skillscontrolling selfreported health personal doctor time since last visit number chronic conditions health insurance sociodemographic characteristics respondents good front desk experience 265 times likely 95 confidence interval ci 213 330 brought questions 173 times likely 95 ci 132 227 report knowing health seeing doctor second model respondents good front desk experience 157 times likely 95 ci 126 195 brought questions 166 times likely 95 ci 129 214 report making better choices health seeing doctor patients health literacy skills associated either outcomeresults representative statewide survey may indicate one attribute health care organization ie respectful workforce patient engagement question asking may important patient knowledge health behaviors patients health literacy skills findings support focused research examine effects organizational attributes patient health outcomes systemlevel interventions might enhance patient health