Enhancing organizational health literacy in a rural Missouri clinic: a qualitative case study.

IF 1 Q4 HEALTH POLICY & SERVICES

INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE Pub Date : 2019-06-10 DOI:10.1108/IJHCQA-05-2018-0131

Ricardo Wray, Nancy Weaver, Prajakta Adsul, Kanak Gautam, Keri Jupka, Stacie Zellin, Kathryn Goggins, Santosh Vijaykumar, Natasha Hansen, Rima Rudd

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引用次数: 4

Abstract

Purpose: The purpose of this paper is to evaluate a collaborative effort between a health care organization and academic institution to strengthen organizational health literacy.

Design/methodology/approach: The intervention took place at a rural, federally qualified health clinic in Missouri between May 2009 and April 2011. Qualitative interviews of key informants were conducted before (n=35) and after (n=23) the intervention to examine program implementation and success in effecting organizational change.

Findings: Intervention activities helped establish a comprehensive understanding of health literacy. The project achieved moderate, fundamental and sustainable organizational change. The program successfully integrated health literacy practices into clinic systems and garnered leadership and organizational commitment, helped the workforce improve interpersonal communication and embedded practices making health education materials more accessible.

Originality/value: The study points to programmatic, conceptual and methodological challenges that must be addressed for organizations to improve health literacy practices, and suggests change management strategies to advance organizational health literacy.

查看原文本刊更多论文

提高密苏里州农村诊所的组织健康素养:定性案例研究。

目的:本论文的目的是评估医疗机构与学术机构之间的合作努力，以加强组织健康素养。设计/方法/方法:干预措施于2009年5月至2011年4月期间在密苏里州一家具有联邦资格的农村保健诊所进行。在干预之前(n=35)和之后(n=23)对关键举报人进行定性访谈，以检查计划的实施和影响组织变革的成功。调查结果:干预活动有助于建立对健康素养的全面了解。项目实现了适度的、基本的和可持续的组织变革。该项目成功地将健康素养实践整合到诊所系统中，赢得了领导和组织的承诺，帮助员工改善人际沟通和嵌入式实践，使健康教育材料更容易获得。原创性/价值:该研究指出了各组织改善卫生知识普及做法必须解决的方案、概念和方法方面的挑战，并建议改变管理战略以促进组织卫生知识普及。

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

INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE HEALTH POLICY & SERVICES-

CiteScore

4.00

自引率

6.70%

发文量

期刊介绍： ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.