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[在德国制定和实施国家健康素养行动计划]

[Establishing and implementing the National Action Plan Health Literacy in Germany].

作者信息

Schaeffer Doris, Griese Lennert, Hurrelmann Klaus

机构信息

Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.

Hertie School - University of Governance, Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Mar;68(3):231-239. doi: 10.1007/s00103-024-04005-1. Epub 2025 Jan 14.

DOI:10.1007/s00103-024-04005-1
PMID:39806212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11868236/
Abstract

About ten years ago, studies on health literacy in Germany indicated that population health literacy was low. This prompted a group of distinguished experts to initiate the development of a National Action Plan for Health Literacy (NAP-HL) for Germany, modeled after those of other countries. This article explains the origins and development of the plan in Germany, provides an overview of the steps taken during its creation, and summarizes its content. Subsequently, the transfer strategy, including the three steps of diffusion, dissemination, and implementation, is discussed. The concluding assessment evaluates the plan's achieved impacts and critically reflects on the implementation strategy. Overall, numerous impulses were provided for agenda setting and the promotion of health literacy. The challenge remains to develop sustainable interventions for strengthening health literacy, accompanied by systematic research.

摘要

大约十年前,德国关于健康素养的研究表明,民众的健康素养水平较低。这促使一群杰出专家以其他国家的计划为蓝本,着手制定德国的《国家健康素养行动计划》(NAP-HL)。本文阐述了该计划在德国的起源与发展,概述了制定过程中的各个步骤,并总结了其内容。随后,讨论了包括传播、推广和实施三个步骤的推广策略。最后的评估对该计划已取得的影响进行了评价,并对实施策略进行了批判性反思。总体而言,该计划为议程设定和健康素养提升提供了诸多推动。挑战依然存在,即要开展系统性研究,同时制定可持续的干预措施以增强健康素养。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/11868236/2f07d6704bbe/103_2024_4005_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/11868236/56107c1df1a1/103_2024_4005_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/11868236/2f07d6704bbe/103_2024_4005_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/11868236/56107c1df1a1/103_2024_4005_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/11868236/2f07d6704bbe/103_2024_4005_Fig2_HTML.jpg

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本文引用的文献

1
Health Literacy of People with Substitutive Private Health Insurance in Germany and Their Assessment of the Health System Performance According to Health Literacy Levels: Results from a Survey.德国替代私人医疗保险人群的健康素养及其根据健康素养水平评估卫生系统绩效:一项调查结果。
Int J Environ Res Public Health. 2022 Dec 13;19(24):16711. doi: 10.3390/ijerph192416711.
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Gesundheitswesen. 2023 Apr;85(4):314-322. doi: 10.1055/a-1709-1011. Epub 2022 Jan 28.
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Health Literacy in Germany - Findings of a Representative Follow-up Survey.德国健康素养研究——一项具有代表性的随访调查结果。
Dtsch Arztebl Int. 2021 Oct 29;118(43):723-728. doi: 10.3238/arztebl.m2021.0310.
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Which criteria characterize a health literate health care organization? - a scoping review on organizational health literacy.哪些标准可以体现一个有文化素养的医疗机构?——一个关于组织文化素养的范围综述。
BMC Health Serv Res. 2021 Jul 6;21(1):664. doi: 10.1186/s12913-021-06604-z.
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Health Inf Manag. 2023 Jan;52(1):3-17. doi: 10.1177/1833358321992683. Epub 2021 Apr 4.
7
Low health literacy is associated with higher risk of type 2 diabetes: a cross-sectional study in Germany.低健康素养与 2 型糖尿病风险增加相关:德国的一项横断面研究。
BMC Public Health. 2021 Mar 16;21(1):510. doi: 10.1186/s12889-021-10508-2.
8
What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis.欧盟成员国健康素养低的流行率是多少?系统评价和荟萃分析。
J Gen Intern Med. 2021 Mar;36(3):753-761. doi: 10.1007/s11606-020-06407-8. Epub 2021 Jan 5.
9
Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students.COVID-19 相关数字健康素养与葡萄牙大学生在线信息搜索行为之间的关联。
Int J Environ Res Public Health. 2020 Dec 2;17(23):8987. doi: 10.3390/ijerph17238987.
10
Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany.新冠病毒相关健康素养:德国 COVID-19 信息疫情期间成年人的横断面研究。
Int J Environ Res Public Health. 2020 Jul 30;17(15):5503. doi: 10.3390/ijerph17155503.