Jany Rademakers|Jessica Nijman|A. Brabers|Judith de Jong|Michelle Hendriks
The relative effect of health literacy and patient activation on provider choice in the Netherlands
Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research
active provider choice patients become important policy theme western countries last decades however many patients consumers exercise right choose health literacy patient activation likely impact choice process article relative effect health literacy patient activation provider choice netherlands studied questionnaire sent representative sample 2000 dutch citizens questionnaire included measure functional health literacy dutch version patient activation measure questions assessing active provider choice reasons engage ways provider selection majority respondents 596 would search information basis could select best provider hospital people rely general practitioners advice low literacy lower patient activation levels negatively associated active provider choice regression analysis gender education patient activation proved important predictors policy focus active provider choice might result inequity men less educated less activated people disadvantage