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. 2021 Jul 21;21:716. doi: 10.1186/s12913-021-06614-x

Table 3.

Categories related to the factors that shape health literacy in transcultural treatment settings

Categorya Factors that influence health literacy Subcategoryd
Challenges

Societal and Environmental Factorsb

• System-related factorsc

• Systemic lack of time and economic pressure

Situational Factorsb

• Psychosocial/psychiatric vs. medical (physical) carec

• Inpatient vs. outpatient carec

• Planning and controlling the current workload in outpatient care

Personal Factorb

• (Shared) migrant backgroundc

• Ad hoc interpreting outside one’s own treatment situation
Applied solutions

Societal and Environmental

Factorb

• System-related factorsc

• Investment of additional, unpaid time

• Falling back on stereotypes and prejudices to save time

Personal Factorb

• (Shared) migrant backgroundc

• Refusal of interpreting for others or providing treatment in native language

• List of staff who speak foreign languages

aCategories deductively derived from the research question

bCategories deductively derived from the guiding model [3]

cCategories inductively derived from the statements of the healthcare professionals

dSubcategories inductively derived from the statements of the healthcare professionals