Functional, interactive and critical health literacy: Varying relationships with control over care and number of GP visits

Iris van der Heide, Monique Heijmans, A.J. Schuit, Ellen Uiters, Jany Rademakers

Research output: Contribution to journalArticleScientificpeer-review

28 Citations (Scopus)

Abstract

Objective:

The aim of this study is to examine the extent to which functional, interactive and critical health literacy are associated with patients' perceived control over care and frequency of GP visits.

Methods:

Data from the Dutch 'National Panel of People with Chronic Illness or Disability' was used (N=2508). Health literacy was assessed by the Functional, Communicative and Critical Health Literacy measure. Perceived control over care was indicated by perceived ability to organize care, interact with providers and to perform self-care. By multivariate linear and logistic regression analyses, associations between health literacy and perceived control over care and subsequently frequency of GP visits were studied.

Results:

Mainly interactive health literacy was associated with patients' perceived ability to organize care, interact with healthcare providers and perform self-care, whereas only functional health literacy was associated with number of GP visits.

Conclusion:

The results imply that some patients' may be less able to exert control over their care because of lower health literacy. Functional, interactive and critical health literacy vary in their relevance for patients' ability to exert control.

PRACTICE IMPLICATIONS: Initiatives for strengthening patients' role in healthcare may be improved by paying attention to patients' health literacy, specifically functional and interactive health literacy.

Original languageEnglish
Pages (from-to)998-1004
JournalPatient Education and Counseling
Volume98
Issue number8
DOIs
Publication statusPublished - Aug 2015
Externally publishedYes

Keywords

  • Attitude to Health
  • Chronic Disease
  • Communication
  • Delivery of Health Care
  • Educational Status
  • Female
  • General Practitioners
  • Health Knowledge, Attitudes, Practice
  • Health Literacy
  • Humans
  • Logistic Models
  • Male
  • Netherlands
  • Office Visits
  • Patient Education as Topic
  • Physician-Patient Relations
  • Self Care
  • Journal Article
  • Research Support, Non-U.S. Gov't

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