150796 20260221074422.0 1.0 2024 Health Policy 2024 Q3 0.336 2024 1.8 2024 ARTICLE (orcid)0000-0002-3087-8899 Gasch-Gallen, A. Universidad de Zaragoza Montero-Marco, J. ART-2024-142720 525390 http://zaguan.unizar.es/record/150796/files/texto_completo.pdf Postprint info:eu-repo/date/embargoEnd/2025-12-30 1285383 http://zaguan.unizar.es/record/150796/files/texto_completo.jpg?subformat=icon icon Postprint info:eu-repo/date/embargoEnd/2025-12-30 2026-02-19-09:00:50 info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Objective .This quasi-experimental, non-randomized study described the process of implementing ISO 7101 subclause 8.10.5 Health literacy in specialty consultations, then determined the effects of implementation on patient general health literacy scores and perceptions of quality of care. Method. Implementation steps were outlined, nurses were trained and used a standardized health literacy checklist with patients. The HLS19-Q12 was used to calculate patients’ general health literacy scores pre- and post-implementation of subclause 8.10.5. Paired samples t-test and Wilcoxon signed-rank test determined relationships between implementation, health literacy score, and quality of care perceived. Results Mean general health literacy scores increased post-implementation from 66.35 to 76.29, as did the mean score of perception of quality of care received (M = 3.87 to M = 3.99). Wilcoxon test for both variables was significant (P < .001), and effect size was large (d ≥ 0.8). Conclusions. Implementation of ISO 7101, subclause 8.10.5 Health literacy had a positive, statistically significant impact on patient general health literacy scores and perceptions of quality of care. This is valuable information for healthcare management decision makers as they implement new standards and seek to improve patient health outcomes Access copy available to the general public Unrestricted 40, 2 (2024), 116-125 Rev. calid. asist. Journal of Healthcare Quality Research 2603-6479 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería Results of the process of implementation of ISO 7101 subclause 8.10.5 Health literacy in specialty consultations doi 10.1016/j.jhqr.2024.11.003 sideral 142720 2024 McCaskill, A. eng oai:zaguan.unizar.es:150796 articulos driver