Evidence map›Paper›PMID 32784395›Full record

ArticleInternational journal of environmental research and public health2020

Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy.

Lennert Griese, Eva-Maria Berens, Peter Nowak, Jürgen M Pelikan, Doris Schaeffer

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  18. The Greek Versions of the HLSHealthcare (Basel, Switzerland) · 2025
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Lennert GrieseSchool of Public Health, Interdisciplinary Centre for Health Literacy Research [ICHL], Bielefeld University, 33615 Bielefeld, Germany.ORCID 0000-0002-9900-2967
Eva-Maria BerensSchool of Public Health, Interdisciplinary Centre for Health Literacy Research [ICHL], Bielefeld University, 33615 Bielefeld, Germany.
Peter NowakDepartment Health and Society, The Austrian Public Health Institute [GÖG], 1010 Vienna, Austria.ORCID 0000-0002-8432-7590
Jürgen M PelikanWHO-CC Health Promotion in Hospitals and Health Care, The Austrian Public Health Institute [GÖG], 1010 Vienna, Austria.
Doris SchaefferSchool of Public Health, Interdisciplinary Centre for Health Literacy Research [ICHL], Bielefeld University, 33615 Bielefeld, Germany.
Bielefeld University · DEGesundheit Österreich · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to their rapid expansion and complexity, it is increasingly difficult for patients to orient themselves in health care systems. Therefore, patients require a high degree of health literacy, or more precisely, navigation health literacy (HL-NAV). The actual extent of HL-NAV of patients and citizens is still largely unknown due to the lack of adequate measurement instruments. Thus, within the new international Health Literacy Population Survey 2019 (HLS

Indexed as

Delivery of Health CareHealth LiteracyAdolescentAdultAgedFemaleFocus GroupsHumansLanguageMaleMiddle AgedSurveys and QuestionnairesYoung Adulthealth care systemhealth literacyhls-euinstrument developmentnavigationorientationquestionnairevalidation

Identifiers

PMID32784395
PMCPMC7460304
OpenAlexW3048169556

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.