Research Article

The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study

Volume: 8 Number: 1 April 27, 2026
EN TR

The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study

Abstract

Aim: This cross-sectional study aimed to examine the relationship between individuals' health literacy levels and patient satisfaction. Material and method: Data were collected through face-to-face surveys using a convenience sampling method from 384 patients who visited the outpatient clinics of secondary care private hospital. The survey consists of three sections: socio-demographic data, health literacy, and outpatient satisfaction scales. In comparisons between two groups of parameters that do not have normal distribution, Mann Whitney-U test, and for comparisons of three or more groups, Kruskal Wallis test were employed, and Spearman's rho correlation analysis was used to examine relationships between parameters. Results: 28.9% of the participants had excellent, 41.1% sufficient, 19.3% problematic-limited and 10.7% inadequate health literacy. Total health literacy scores of women were higher than men, of regular employees than irregular employees, and of singles than married. No significant difference was found between gender and age groups in terms of patient satisfaction. Single participants had higher total satisfaction scores compared to married. Conclusion: The study found that there is a positive, moderate (r=0.44) relationship between health literacy and patient satisfaction. Thus, any efforts to raise the health literacy level of society may have a positive effect on health communication and lead to better use of health services.

Keywords

Health literacy, Health services, Patient satisfaction

Ethical Statement

Ethics committee approval for this research was obtained from the Istanbul Medipol University Non-Interventional Clinical Research Ethics Committee with decision number 522 on 09.06.2023.

Thanks

We would like to thank all participants of the study and the hospital management for allowing us to reach them.

References

  1. Altun, R. (2021a). The relationship between health literacy, patient satisfaction and health costs. Sabuncuoglu Serefeddin Health Sciences, 3(3), 29-39.
  2. Altun, R. (2021b). Aile sağlığı merkezlerinde sağlık okuryazarlığı ve hasta memnuniyeti arasındaki ilişkinin incelenmesi: Amasya örneği (Yayımlanmamış Yüksek Lisans Tezi). Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü Sağlık Yönetimi Programı, Ankara.
  3. Akpinar Oruç, O., Sener, R. (2025). Multivariate analysis of the effect of health literacy levels on patient satisfaction in patients presenting to the emergency department. Medicine, 104(24), e42789. doi:10.1097/MD.0000000000042789
  4. Auld, M. E., Allen, M. P., Hampton, C., Montes, J. H., Sherry, C., Mickalide, A. D., . . . Parson, K. (2020). Health Literacy and Health Education in Schools: Collaboration for Action. NAM Perspectives. doi:10.31478/202007b
  5. Australian Commission on Safety and Quality in Health Care (ACSQHC). (2014). Health literacy: taking action to ımprove safety and quality. Sydney. Erişim tarihi 06.05.2025, https://www.safetyandquality.gov.au/publications-and-resources/resource-library/health-literacy-taking-action-improve-safety-and-quality
  6. Berberoğlu, U., Öztürk, O., İnci, M. B., & Ekerbiçer, H. E. (2018). Bir aile sağlığı merkezine kayıtlı 18-65 yaş grubu bireylerdeki sağlık okuryazarlığı durumunun değerlendirilmesi. Sakarya Tıp Dergisi. doi:10.31832/smj.453846
  7. Çatı, K., Karagöz, Y., Yalman, F., & Öcel, Y. (2018). Sağlık okuryazarlığının hasta memnuniyeti üzerine etkisi. Ekonomik ve Sosyal Araştırmalar Dergisi, 14(1), 70.
  8. Deniz, S., Oğuzöncül, A. F. (2020). Assessment of health literacy level in Akcadağ, Malatya, Turkey. Fırat Tıp Dergisi, 25(1), 05-013.
  9. Dost, A., Durmaz, M. Ö. (2022). Kronik hastalığı olan bireylerin sağlık okuryazarlık düzeyleri ve etkileyen faktörler. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 10(2), 652–666. doi:10.33715/inonusaglik.1010493
  10. Erdoğan, C. (2020). Bilimsel anketler için örneklem sayısı hesaplama programı (Excel). Erişim tarihi 12.06.2025,https://www.academia.edu/39022606/Bilimsel_Anketler_%C4%B0%C3%A7in_%C3%96rneklem_Say%C4%B1s%C4%B1_Hesaplama_Program%C4%B1_Excel_
APA
Özen, S., & Sonsuz, A. A. (2026). The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, 8(1), 288-301. https://doi.org/10.46413/boneyusbad.1727469
AMA
1.Özen S, Sonsuz AA. The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2026;8(1):288-301. doi:10.46413/boneyusbad.1727469
Chicago
Özen, Seda, and Aliye Aslı Sonsuz. 2026. “The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi 8 (1): 288-301. https://doi.org/10.46413/boneyusbad.1727469.
EndNote
Özen S, Sonsuz AA (April 1, 2026) The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 8 1 288–301.
IEEE
[1]S. Özen and A. A. Sonsuz, “The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, vol. 8, no. 1, pp. 288–301, Apr. 2026, doi: 10.46413/boneyusbad.1727469.
ISNAD
Özen, Seda - Sonsuz, Aliye Aslı. “The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 8/1 (April 1, 2026): 288-301. https://doi.org/10.46413/boneyusbad.1727469.
JAMA
1.Özen S, Sonsuz AA. The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2026;8:288–301.
MLA
Özen, Seda, and Aliye Aslı Sonsuz. “The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, vol. 8, no. 1, Apr. 2026, pp. 288-01, doi:10.46413/boneyusbad.1727469.
Vancouver
1.Seda Özen, Aliye Aslı Sonsuz. The Relationship Between Health Literacy Level and Patient Satisfaction: A Cross-Sectional Study. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2026 Apr. 1;8(1):288-301. doi:10.46413/boneyusbad.1727469