99 Patient participation in consultations Introduction: Before, we mainly discussed strategies to inform patients and to motivate them for self-management. However, patients also contribute to an effective consultation. For example by sharing their symptoms and problems and asking questions. The next questions are on patient’s participation during consultations. 22. What are your experiences when it comes to the way patients participate during consultations when you consider them limited health literate? > Do you have stories that illustrate how patients typically contribute? > What kind of barriers does this bring during consultations from your perspective as a professional and the strategies you need to apply? > What are the risks for the patient if they are not actively participating? 23. Do you have strategies to improve the participation of patients during consultations? > How effective are these in patients with limited health literacy? 24. If we focus more on moments that a decision needs to be made, for example in the treatment. > What are your experiences in the decision making process, when it comes to patients with limited health literacy? > How doet it affect your approach during a consultation or the strategies you need to apply? > What are the risks? 25. Do you have ideas for strategies that might help to improve participation of patients with limited health literacy? Now, we would like to share two examples from patient interviews, we conducted earlier. These examples relate to communication during consultations. We would like to reflect with you on these examples. 26. ‘During consultations, it is mainly about lab results and medication. Some other topics, such as my emotional well-being or if I am satisfied with the way
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