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The relationships of health literacy, preferred involvement, and patient activation with perceived involvement in care among Mongolian patients with breast and cervical cancer.
Munkhtogoo, Dulmaa; Nansalmaa, Erdenekhuu; Chung, Kuo-Piao.
Afiliación
  • Munkhtogoo D; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
  • Nansalmaa E; National Cancer Center, Ulaanbaatar, Mongolia; Department of Pathophysiology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Chung KP; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan. Electronic address: kpchung@ntu.edu.tw.
Patient Educ Couns ; 105(1): 158-165, 2022 01.
Article en En | MEDLINE | ID: mdl-34024671
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 [ß = 0.22, p = 0.00] and PDM [ß = 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Alfabetización en Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans Idioma: En Revista: Patient Educ Couns Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Irlanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Alfabetización en Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans Idioma: En Revista: Patient Educ Couns Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Irlanda