Impact of health literacy, accessibility and coordination of care on patient's satisfaction with primary care in Germany.
Impact of health literacy, accessibility and coordination of care on patient's satisfaction with primary care in Germany.
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DOI：
10.1186/s12875-015-0372-0
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发表时间：
2015-10-22
影响因子：
2.9
通讯作者：
Stock S
中科院分区：
文献类型：
--
作者：
Altin SV;Stock S
尽管卫生政策制定者呼吁将卫生保健组织转变为对卫生扫盲作出反应的组织，但关于卫生扫盲技能有限的患者在卫生保健质量方面的护理经验的证据有限。我们探讨了HL和患者报告的关于初级保健组织（PCO）中获得护理和护理协调支持的经历是否会影响患者对其个人全科医生（GP）所接受护理的满意度。对1125名德国成年人进行了一项全国代表性的随机抽样调查。进行二元logistic回归分析，以确定HL和感知获得护理和协调是否与在初级保健中接受护理的满意度相关，并根据人口统计学和健康状况进行调整。在未调整和调整的模型中，初级保健实践的可及性（β= 1.858; 2.032 p < 0.001）、全科医生对护理协调的频繁支持（β= 2.680; 2.820 p < 0.001）和充足的HL （β= 0.888; 1.228 p < 0.05）是全科医生对护理满意度较高的独立预测因子。在护理协调和获得护理方面有充分HL和积极经验的德国成年人对其私人全科医生的护理更满意。这一结果对于打算改变其流程和结构以更有效地响应患者健康素养需求的初级保健组织至关重要。
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). 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. In the unadjusted as well as adjusted model, better accessibility of the primary care practice (β= 1.858; 2.032 p < 0.001) frequent support in care coordination by the general practitioner (β = 2.680; 2.820 p < 0.001) as well as sufficient HL (β = 0.888; 1.228 p < 0.05) were independent predictors of a higher satisfaction with care received in the general practice. 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.