Zhao Shenyu, Chen Yang, Xia Xiyang, Zhou Jing, Wang Xiaoyu, Sun Qing, Chang Jiaqian, Ge Jiaying, Hu Lingmin, Lu Renjie
Changzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Department of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
J Multidiscip Healthc. 2025 Jun 1;18:3065-3090. doi: 10.2147/JMDH.S520366. eCollection 2025.
This study aims to analyze the current status and development trends of health literate healthcare organization (HLHO) worldwide, and preliminarily construct an index system suitable for HLHO in China.
This study first utilized CiteSpace for bibliometric analysis to explore global research hotspots and trends in HLHO. Based on these findings, expert opinions were gathered through focus group interviews to preliminarily develop the index system. Finally, semi-structured interviews in primary hospitals were conducted to optimize the system, assess its adaptability, and collect feedback for refinement.
CiteSpace bibliometric analysis identified high-frequency themes-including health literacy, education, service, communication, health information, digital healthcare, special populations, community, and management-as the primary indices of HLHO. Based on expert input from focus group discussions, an index system comprising 14 primary and 120 secondary indices was developed, covering key domains such as organizational management, health education, provider-patient communication, self-management, digital services, and support for vulnerable groups. Further expert interviews indicated that the system also had good local adaptability and strong potential for broader implementation in primary hospitals.
The index system developed in this study provides both a theoretical framework and a practical tool to support the standardized construction of health-literate healthcare organizations in China. It not only integrates cutting-edge international experience but also aligns with the practical needs of the Chinese healthcare context, demonstrating strong adaptability and relevance. The system is expected to facilitate hospital self-assessment, quality improvement, patient support, and health education efforts, thereby laying a solid foundation for enhancing healthcare service quality and improving patients' health literacy. Moving forward, our research team will continue to optimize the index system for practical use, and initiate multicenter pilot studies and quantitative scale development to strengthen its operability and value for broader implementation.
本研究旨在分析全球健康素养医疗组织（HLHO）的现状和发展趋势，并初步构建适合中国HLHO的指标体系。
本研究首先利用CiteSpace进行文献计量分析，以探索HLHO的全球研究热点和趋势。基于这些发现，通过焦点小组访谈收集专家意见，初步构建指标体系。最后，在基层医院进行半结构化访谈，以优化该体系，评估其适用性，并收集反馈意见进行完善。
CiteSpace文献计量分析确定了高频主题，包括健康素养、教育、服务、沟通、健康信息、数字医疗、特殊人群、社区和管理，作为HLHO的主要指标。基于焦点小组讨论中的专家意见，开发了一个包含14个一级指标和120个二级指标的指标体系，涵盖组织管理、健康教育、医患沟通、自我管理、数字服务和弱势群体支持等关键领域。进一步的专家访谈表明，该体系在当地也具有良好的适用性，在基层医院广泛实施的潜力很大。
本研究开发的指标体系为支持中国健康素养医疗组织的标准化建设提供了理论框架和实践工具。它不仅整合了前沿的国际经验，还符合中国医疗环境的实际需求，具有很强的适用性和相关性。该体系有望促进医院的自我评估、质量改进、患者支持和健康教育工作，从而为提高医疗服务质量和提升患者健康素养奠定坚实基础。展望未来，我们的研究团队将继续优化指标体系以供实际应用，并启动多中心试点研究和定量量表开发，以加强其可操作性和广泛实施的价值。
