چکیده (انگلیسی):

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 (β= 1.858;
2.032p< 0.001) frequent support in care coordination by the general practitioner (β= 2.680; 2.820p< 0.001) as well
as sufficient HL (β= 0.888; 1.228p< 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 Keywords:Health literacy, Quality of care, Primary care, Patient-reported outcomes