Center for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland.
Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland.
Int J Environ Res Public Health. 2022 Dec 2;19(23):16139. doi: 10.3390/ijerph192316139.
Primary care organizations offer a suitable setting to promote organizational health literacy (OHL) since they are a crucial interface for patients and clients. However, a clear picture on the OHL situation in primary care is lacking. The aim of this study was to assess OHL in Swiss primary care organizations by evaluating (i) how they rate their level of OHL and which improvement measures they accordingly plan (organizational level), (ii) what knowledge and attitudes among health professionals in primary care regarding OHL exist (individual level) and (iii) how teams working in general practitioners' practices and a home care service organization differ regarding OHL (organizational and individual level). The research design included an online survey ( = 74, health professionals) on the individual level and a checklist and intervention documentation ( = 10, primary care teams) on the organizational level. The study reveals a crucial demand regarding organizationally embedded OHL practices in the participating primary care teams, despite a rather comprehensive understanding of the concept. The greatest need for action was identified in strengthening health literacy of staff members, which underlines the necessity to develop interventions to systematically strengthen the health literacy of health professionals.
初级保健组织为促进组织健康素养(OHL)提供了合适的环境,因为它们是患者和客户的重要接口。然而,缺乏对初级保健中 OHL 状况的清晰了解。本研究旨在通过评估(i)初级保健组织如何评估其 OHL 水平以及相应计划哪些改进措施(组织层面),(ii)初级保健中卫生专业人员对 OHL 的知识和态度(个人层面),以及(iii)在全科医生实践和家庭护理服务组织中工作的团队在 OHL 方面的差异(组织和个人层面),来评估瑞士初级保健组织中的 OHL。研究设计包括对个人层面的在线调查(=74 名卫生专业人员)和对组织层面的检查表和干预文件(=10 个初级保健团队)。尽管对这一概念有相当全面的理解,但研究表明,参与的初级保健团队在组织上嵌入 OHL 实践方面存在着至关重要的需求。在加强工作人员的健康素养方面,确定了最大的行动需求,这强调了必须制定干预措施,以系统地加强卫生专业人员的健康素养。