Aaby Anna, Palner Sanne, Maindal Helle Terkildsen
Health Lit Res Pract. 2020 Mar 10;4(1):e79-e83. doi: 10.3928/24748307-20200129-01.
Working toward equity in health requires attention to local needs. Organizational health literacy responsiveness is defined as the way health information and resources are made available and accessible to people. This case study aims to investigate the feasibility of the the Organizational Health Literacy Responsiveness (Org-HLR) process in developing a health literacy strategy in a Danish municipal rehabilitation unit. The Org-HLR investigates organizational health literacy responsiveness within six domains: (1) leadership and culture; (2) systems, processes, and policies; (3) access to services and programs; (4) community engagement and partnerships; (5) communication practices and standards; and (6) workforce. During three workshops, we applied the appropriate tools to allow staff and management to reflect upon and self-assess local organizational health literacy needs and develop and prioritize ideas for improvement. During the Org-HLR self-assessment, 62 ideas for improvement were identified. After prioritization, the unit produced an action plan with 11 items to develop health literacy responsiveness. The co-creational strategy ensured broad participation, which may increase the likelihood of successful implementation. To become health literacy responsive, organizations need to develop local strategies. This study confirmed the Org-HLR as a feasible approach to identify organizational health literacy needs and to guide organizational health literacy improvements. [HLRP: Health Literacy Research and Practice. 2020;4(1):e79-e83.].
努力实现健康公平需要关注当地需求。组织健康素养响应能力被定义为向人们提供健康信息和资源的方式。本案例研究旨在调查组织健康素养响应能力（Org-HLR）流程在丹麦一个市政康复单位制定健康素养战略方面的可行性。Org-HLR在六个领域调查组织的健康素养响应能力：（1）领导力与文化；（2）系统、流程和政策；（3）服务和项目的获取；（4）社区参与和伙伴关系；（5）沟通实践和标准；（6）员工队伍。在三次研讨会上，我们应用了适当的工具，让员工和管理层反思并自我评估当地组织的健康素养需求，并提出改进想法并确定其优先级。在Org-HLR自我评估过程中，共确定了62条改进意见。经过优先级排序后，该单位制定了一项包含11项内容的行动计划，以提高健康素养响应能力。这种共创战略确保了广泛参与，这可能会增加成功实施的可能性。为了提高健康素养响应能力，组织需要制定当地战略。本研究证实，Org-HLR是一种可行的方法，可用于识别组织的健康素养需求并指导组织健康素养的改进。[《健康素养研究与实践》。2020年；4（1）：e79 - e83。]
