Global Health Literacy Academy, Risskov, Denmark.
Department of Health Education and Promotion, Clalit, Tel Aviv and School of Public Health, University of Haifa, Haifa, Israel.
Health Promot Int. 2021 Dec 13;36(Supplement_1):i13-i23. doi: 10.1093/heapro/daab153.
The human and social implications of poor health literacy are substantial and wide-ranging. Health literacy represents the personal competencies and organizational structures, resources and commitment that enable people to access, understand, appraise and use information and services in ways that promote and maintain good health. A large-scale societal improvement of health literacy will require political buy-in and a systematic approach to the development of health literacy capacity at all levels. This article builds the case for enhancing health literacy system capacity and presents a framework with eight action areas to accommodate the structural transformation needed at micro, meso and macro levels, including a health literate workforce, health literate organization, health literacy data governance, people-centred services and environments based on user engagement, health literacy leadership, health literacy investments and financial resources, health literacy-informed technology and innovation, and partnerships and inter-sectoral collaboration. Investment in the health literacy system capacity ensures an imperative and systemic effort and transformation which can be multiplied and sustained over time and is resilient towards external trends and events, rather than relying on organizational and individual behavioural change alone. Nevertheless, challenges still remain, e.g. to specify the economic benefits more in detail, develop and integrate data governance systems and go beyond healthcare to engage in health literacy system capacity within a wider societal context.
健康素养低下对个人和社会的影响是巨大且广泛的。健康素养是指个人能力和组织结构、资源和承诺，使人们能够以促进和维持健康的方式获取、理解、评估和使用信息和服务。大规模提高健康素养需要政治支持，并需要在各个层面系统地发展健康素养能力。本文提出了增强健康素养系统能力的理由，并提出了一个包含八个行动领域的框架，以适应微观、中观和宏观层面所需的结构转型，包括健康素养劳动力、健康素养组织、健康素养数据治理、以用户参与为基础的以人为本的服务和环境、健康素养领导力、健康素养投资和财务资源、基于健康素养的技术和创新，以及伙伴关系和跨部门合作。对健康素养系统能力的投资确保了一项必要的系统努力和转型，可以随着时间的推移而倍增和持续，并对外部趋势和事件具有弹性，而不仅仅依赖于组织和个人行为的改变。然而，仍然存在挑战，例如更详细地说明经济效益，开发和整合数据治理系统，并超越医疗保健，在更广泛的社会背景下参与健康素养系统能力。
