A new integrative organizational health literacy framework for preventive action through intersectoral collaboration: Results of a landscape review

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-06-19 DOI:10.1016/j.healthpol.2025.105380

Francisco Javier Ferreira-Alfaya, Yasmin Cura, María José Zarzuelo-Romero

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引用次数: 0

Abstract

Background

Organizational Health Literacy (OHL) refers to the extent to which organizations facilitate equitable access, comprehension, and use of health information and services for informed decision-making.

Objective

This study aimed to (1) review and map existing OHL frameworks and (2) propose an innovative OHL framework that addresses gaps identified in current models.

Methods

A systematic search of academic (Web of Science, Scopus, MEDLINE) and grey literature from the past 15 years was conducted to identify OHL frameworks. This scoping review followed the PRISMA-ScR guidelines and the Arksey and O’Malley model. A new OHL intervention framework was developed to address gaps in existing models, based on the principles of preventive medicine and the public health action cycle.

Results

A total of 19 records were included (10 from academic databases and 9 from grey literature), covering diverse approaches and contexts related to OHL. Four intervention levels were identified: integrating HL into formal education, implementing HL assessments, developing interventions for vulnerable populations, and enhancing accessibility to health resources. The proposed framework emphasizes intersectoral collaboration and communication pathways between education and healthcare sectors, facilitating information exchange to continuously adapt interventions to population needs.

Conclusion

OHL development requires intersectoral collaboration; however, interoperability between sectors remains unaddressed in existing frameworks. This study proposes an innovative model that fosters sectoral connections toward a shared goal, creating a truly collaborative framework.

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通过部门间合作采取预防行动的新的综合性组织卫生知识普及框架：概况审查的结果

组织卫生素养（OHL）是指组织促进公平获取、理解和使用卫生信息和服务以进行知情决策的程度。本研究旨在(1)回顾和绘制现有OHL框架，(2)提出一个创新的OHL框架，以解决当前模型中发现的差距。方法系统检索过去15年的学术文献（Web of Science、Scopus、MEDLINE）和灰色文献，确定OHL框架。该范围审查遵循PRISMA-ScR指南和Arksey和O 'Malley模型。根据预防医学原则和公共卫生行动周期，制定了一个新的职业健康事务干预框架，以解决现有模式中的差距。结果共纳入19条记录（10条来自学术数据库，9条来自灰色文献），涵盖了与OHL相关的多种方法和背景。确定了四个干预水平：将HL纳入正规教育，实施HL评估，制定针对弱势人群的干预措施，以及提高卫生资源的可及性。拟议的框架强调教育和保健部门之间的部门间协作和沟通途径，促进信息交流，使干预措施不断适应人口需求。结论ohl的发展需要跨部门合作；然而，在现有的框架中，部门之间的互操作性仍然没有得到解决。本研究提出了一种创新模式，促进部门之间的联系，实现共同目标，创造一个真正的合作框架。

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

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.