Universität zu Köln

Altin, Sibel Vildan and Stock, Stephanie (2015). Impact of health literacy, accessibility and coordination of care on patient's satisfaction with primary care in Germany. BMC Fam. Pract., 16. LONDON: BMC. ISSN 1471-2296

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Abstract

Background: Although health policy makers call for the transformation of health care organizations to health literacy responsive ones, there is limited evidence on the care experiences of patients with limited health literacy skills (HL) in respect to health care quality. We explored if HL and patient-reported experiences regarding access to care and support in care-coordination in primary care organizations (PCO) have an impact on patients satisfaction with the care received by their personal general practitioner (GP). Methods: A nationwide representative survey was administered in a random sample of 1125 German adults. Binary logistic regression analyses were performed to determine whether HL and perceived access to and coordination of care were associated with satisfaction with care received in primary care adjusting for demographics and health status. Results: In the unadjusted as well as adjusted model, better accessibility of the primary care practice (beta = 1.858; 2.032 p < 0.001) frequent support in care coordination by the general practitioner (beta = 2.680; 2.820 p < 0.001) as well as sufficient HL (beta = 0.888; 1.228 p < 0.05) were independent predictors of a higher satisfaction with care received in the general practice. Conclusion: German adults with sufficient HL and positive experiences regarding care coordination and access to care are more satisfied with care received by their personal general practitioner. This result is from major importance for primary care organizations intending to transform their processes and structures to respond to the health literacy needs of their patients more effectively.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Altin, Sibel Vildan UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-389433
DOI:	10.1186/s12875-015-0372-0
Journal or Publication Title:	BMC Fam. Pract.
Volume:	16
Date:	2015
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-2296
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IDENTIFY PATIENTS; CENTERED CARE; SYSTEMS; OUTCOMES; QUALITY; ORGANIZATIONS; PERCEPTIONS; EXPERIENCE; QUESTIONS; EQUITY Multiple languages Primary Health Care; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38943