[Organizational health literacy in German hospitals and nursing homes: state and perspectives].

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI:10.1007/s00103-025-04017-5

Eva Maria Bitzer, Nicola Häberle, Katharina Rathmann, Zeynep Islertas

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引用次数: 0

Abstract

Background: It is unclear to what extent hospitals and nursing homes in Germany make it easier for people to navigate, understand, and use information and services to take care of their health, that is, demonstrate organizational health literacy (oHL), and which aspects are essential for identifying approaches to promoting oHL.

Methods: The basis is formed by three independently conducted research projects: (1) a survey of hospitals (HO) and nursing homes (NH) (EwiKo, 2021), (2) a survey of hospitals (GK-KH, 2022), and (3) a consensus process to reduce a detailed self-assessment tool (SAT-OHL-Hos v1.1; 2024). In (1) and (2), all German hospitals and the 1475 NH in Saxony and Thuringia were included, and the HLHO-10 (range 1 to 7, high values = high oGK) was used. The consensus process was carried out in the WHO network M‑POHL with the aim of reducing the 141 indicators by about two-thirds while maintaining the depth and breadth of the concept in three steps: prioritization of indicators at the national level, merging of national votes, consensus in the international working group.

Results: Evaluable questionnaires were received from 195 NH, 62 HO, and 291 HO (response rate: 13.2%, 3.2%, and 11%, respectively). The mean values of the 10 HLHO-10 standards ranged from 3.5 to 5.7, with no substantial differences between hospitals and nursing homes. The consensus process led to a reduced instrument of 54 items. Among other things, the discussion addressed the question of what can be expected across countries.

Discussion: For the first time, data on oHL in nursing homes are available. The self-assessed oHL of the surveyed institutions is in the medium to good range. The SAT-OHL-Hos V2, now shortened by about one-third, is a "short, detailed" and internationally applicable instrument ready for empirical testing.

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[德国医院和养老院的组织健康素养：现状和观点]。

背景：目前尚不清楚德国的医院和养老院在多大程度上使人们更容易浏览、理解和使用信息和服务来照顾自己的健康，即展示组织健康素养（oHL），以及哪些方面对于确定促进oHL的方法至关重要。方法：基础是由三个独立开展的研究项目形成的：(1)医院（HO）和养老院（NH）的调查（EwiKo, 2021），(2)医院的调查（gsk - kh, 2022），以及(3)共识过程，以减少详细的自我评估工具(SAT-OHL-Hos v1.1；2024)。在(1)和(2)中，纳入德国所有医院以及萨克森州和图林根州的1475 NH，采用HLHO-10（范围1 ~ 7，高值 =高oGK）。协商一致进程是在世卫组织M - POHL网络中进行的，目的是将141项指标减少约三分之二，同时分三个步骤保持这一概念的深度和广度：在国家一级确定指标的优先次序，合并国家投票，在国际工作组中达成共识。结果：共收到195名NH、62名HO和291名HO的可评估问卷（回复率分别为13.2%、3.2%和11%）。10项HLHO-10标准的平均值从3.5到5.7不等，医院和疗养院之间没有实质性差异。协商一致进程导致文书减少到54个项目。除其他事项外，讨论讨论了各国可以预期的问题。讨论：这是第一次有关于疗养院职业健康护理的数据。受访院校自我评估的职业技能水平处于中等至良好的范围。SAT-OHL-Hos V2现在缩短了约三分之一，是一种“简短、详细”且国际适用的仪器，准备进行实证测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

5.90%

发文量

145

审稿时长

3-8 weeks

期刊介绍： Die Monatszeitschrift Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - umfasst alle Fragestellungen und Bereiche, mit denen sich das öffentliche Gesundheitswesen und die staatliche Gesundheitspolitik auseinandersetzen. Ziel ist es, zum einen über wesentliche Entwicklungen in der biologisch-medizinischen Grundlagenforschung auf dem Laufenden zu halten und zum anderen über konkrete Maßnahmen zum Gesundheitsschutz, über Konzepte der Prävention, Risikoabwehr und Gesundheitsförderung zu informieren. Wichtige Themengebiete sind die Epidemiologie übertragbarer und nicht übertragbarer Krankheiten, der umweltbezogene Gesundheitsschutz sowie gesundheitsökonomische, medizinethische und -rechtliche Fragestellungen.