102 2. Do you have ideas about the causes of these kind of reduced access to care? > Do you have ideas how hospitals or general practices can act to change that? > What could be your role? > What do think HCPs need or have to learn to improve this situation? We also found that patients with CKD and limited health literacy: 1) felt their CKD was diagnosed late, 2) thought CKD was not that important or 3) lacked symptoms. 3. Do you regognize this? What is the reason that this happens? > Do you have suggestions how this situation can be improved? > What do you think HCPs need or have to learn to improve this situation? Informed patient Introduction: From the interviews with patients we learned some barriers for you as a health care professional when you are providing information. Patients for example told that sometimes information could be too medical or theoretical and that they lacked information that teaches them practical skills. 4. What is your first reaction on this finding? Do you have examples when this might occur? > What could be the consequences when patients have limited health literacy? > What is needed to improve that situation? > What do you think HCPs need or have to learn to improve this situation? Patients also mentioned, related to this topic, that they did not always want to know how the kidneys function or understand what al the precise lab values meant. For them, the lab values were sort of a mystery. They could not derive meaning from it. They were not always sure why you had to know them and what you could do to improve them. They also shared how sometimes a lab result is only shared shortly by phone. 5. What is your first reaction on this finding? Do you have examples when this
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