title: Assessing the Effects of Financial Literacy on Patient Engagement.
abstract: We investigated the relationship between financial literacy and patient engagement while considering the possible interaction effects due to patient financial responsibility and patient-physician shared decision making, and the impact of personal attributes.
  
  
  
  Participants consisted of an Internet-based sample of American adults (N = 160). Hierarchical multiple linear regression analysis was conducted to examine the relationship of the study variables on patient engagement.
  
  
  
  We found that patient financial responsibility (β = -.19, p < .05) and patient-physician shared decision-making (β = .17, p < .05) predicted patient engagement. However, there was no statistically significant relationship between patient financial literacy and patient engagement; moreover, the moderation effects of patient financial responsibility and shared decision making with financial literacy also were not statistically significant.
  
  
  
  Increasing patient financial responsibility and patient-physician shared decision making can impact patient engagement. Understanding the predictors of patient engagement and the factors that influence financial behaviors may allow for the development of interventions to enable patients to make better healthcare decisions, and ultimately, improve health outcomes.
authors.affiliation: University of Massachusetts College of Health Sciences, Lowell, MA, USA. melanie_meyer@uml.edu.
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Meyer
authors.affiliation: Walden University School of Health Sciences, Minneapolis, MN, USA.
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Hudak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D005382:Financing, Personal; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000191:economics* / Q000523:psychology; D055815:Young Adult