Serena Barello|Lorenzo Palamenghi|Guendalina Graffigna
The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills
Università Cattolica del Sacro Cuore|Università Cattolica del Sacro Cuore|Università Cattolica del Sacro Cuore
individuals low health literacy hl known poorer health outcomes higher mortality rates compared individuals higher hl hence improvement hl key outcome modern healthcare systems healthcare providers therefore asked support patients becoming engaged healthcare thus augmenting literacy skills main hypothesis wellknown relationship patients perceived autonomy supportive healthcare climate hl skills mediated patient health engagement model phemodel describes patients progressive maturation psychological readiness become active players healthcare purpose study formulate hypothetical structural equation model sem linking autonomysupportive healthcare climate phemodel hl crosssectional survey design employed involving 1007 italian chronic patients hypothetical model tested using sem verify hypothesized mediation phemodel autonomysupportive healthcare climate hl results show theoretical model good fit indexes phemodel fully mediates relationship autonomysupportive healthcare climate hl finding suggests healthcare systems implement new paradigm patients supported play autonomous role healthcare