The relationships of health literacy, preferred involvement, and patient activation with perceived involvement in care among Mongolian patients with breast and cervical cancer
| Autor: | Kuo-Piao Chung, Dulmaa Munkhtogoo, Erdenekhuu Nansalmaa |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Patient Activation
Adult medicine.medical_specialty Decision Making Uterine Cervical Neoplasms Health literacy 03 medical and health sciences Young Adult 0302 clinical medicine Breast cancer Patient information Health care medicine Humans 030212 general & internal medicine Cervical cancer Physician-Patient Relations Descriptive statistics business.industry 030503 health policy & services Cancer General Medicine medicine.disease Health Literacy Cross-Sectional Studies Family medicine Female Patient Participation 0305 other medical science business |
| Zdroj: | Patient education and counseling. 105(1) |
| ISSN: | 1873-5134 |
| Popis: | Objective To explore the relationships of health literacy, preferred involvement, and patient activation with perceived involvement in care among patients with breast and cervical cancer. Methods A cross-sectional survey was conducted with patients aged 20 years or older, aware of their cancer diagnosis, and currently receiving care at the National Cancer Center, Mongolia. Descriptive statistics and multivariate regression analysis were used to identify the relationships among study variables. Results Two hundred twenty-five patients were included in the final analysis. Patients’ perceived involvement was examined as two subdomains: patient information seeking (PIS) and patient decision-making (PDM). Patient health literacy was found to only significantly influence PIS, and patient preferred involvement demonstrated a significant influence only on PDM. However, patient activation predictor was found to significantly influence both PIS and PDM (PIS [β = 0.22, p = 0.00] and PDM [β = 0.14, p = 0.00]). Conclusion Health literacy, preferred involvement, and patient activation each demonstrated distinct influences on patients’ perceived involvement subdomains, with patient activation being the most important predictor. Practice implications Comprehensive strategies at the healthcare organization, professional, and patient levels may help to facilitate and advance patient involvement in care, and ultimately improve the quality of healthcare services respective to domain of patient-centeredness. |
| Databáze: | OpenAIRE |
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