ArticlePloS one2017
Association between health literacy and patient experience of primary care attributes: A cross-sectional study in Japan.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Patient experience and primary care teams: a cross-sectional survey of French elderly patients.BMJ open · 2025Article
- Experiences of the Development of a Revised, Population-Adjusted Communicative Health Literacy Scale.Journal of patient experience · 2025Article
- Validity and reliability of the translated Marathi version of the 14-item health literacy scale.Journal of family medicine and primary care · 2024Article
- Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.BMC health services research · 2024Article
- Insights into medication adherence among Jordanian patients with dyslipidemia: evaluating health literacy, well-being, and doctor-patient communication.Journal of pharmaceutical policy and practice · 2024Article
- Improving Patient Health Literacy During Telehealth Visits Through Remote Teach-Back Methods Training for Family Medicine Residents: Pilot 2-Arm Cluster, Nonrandomized Controlled Trial.JMIR formative research · 2023Article
- Organizational Health Literacy and Health Among New York State Medicaid Members.Health literacy research and practice · 2023Article
- Effect modification by geographic area on the association between health literacy and self-rated health: a nationwide cross-sectional study in Japan.BMC public health · 2023Article
- The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population.Psychology research and behavior management · 2023Article
- [Measuring comprehensiveness of care using the Primary Care Assessment Tool: systematic reviewEvaluación de la integralidad en la atención primaria de salud por medio de la herramienta de evaluación de la atención primaria: revisión sistemática].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- The longitudinal effects of education on depression: Finding from the Indonesian national survey.Frontiers in public health · 2022Article
- [Impact of health literacy on patient experience of outpatients in China and its mechanism].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021Article
- Adherence to safety barriers in medication administration: patients' perception.Revista latino-americana de enfermagem · 2021Article
- Characterizing the impact of health literacy, computer ability, patient demographics, and portal usage on patient satisfaction with a patient portal.JAMIA open · 2019Article
- Building primary care in Japan: Literature review.Journal of general and family medicine · 2019Review
- Patient experiences with outpatient care in Hungary: results of an online population survey.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Development of the Japanese version of the general practice assessment questionnaire: measurement of patient experience and testing of data quality.BMC family practice · 2018Article
- Development of a Clinical-Academic-Community Collaboration to Improve Health Literacy.Journal of primary care & community healthArticle
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Authors and funding
2 authors.
Funding
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Abstract
Primary care is regarded as a setting that potentially mitigate patient health literacy (HL) related inequalities. However, there is a lack of evidence about influence of patient HL on the patients' perception of quality of primary care. We aimed to examine the association between HL and patient experience of primary care attributes. We conducted a cross-sectional survey, and sent questionnaires to adult residents who were randomly selected from a basic resident register in Yugawara Town, Kanagawa, Japan. We assessed HL using a 14-item Health Literacy Scale (HLS-14) and patient experience of primary care attributes using a Japanese version of Primary Care Assessment Tool (JPCAT), which comprises six domains: first contact, longitudinality, coordination, comprehensiveness (services available), comprehensiveness (services provided), and community orientation. We used a multivariable linear regression analyses to adjust individual covariates. Data were analyzed for 381 residents who had a usual source of care. After adjustment for patients' sociodemographic and health characteristics, patient HL was positively associated with the JPCAT total score (B = 4.49, 95% confidence interval: 0.27 to 8.65 for HLS-14 total score highest quartile, compared with the lowest quartile). Among primary care attributes, HL had significant associations with longitudinality and comprehensiveness (service provided). We found that HL was positively associated with patient experience of primary care attributes in Japanese people. Our findings indicated that greater efforts might be needed to improve patient-centered and tailored primary care to those with low HL.
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