Building health literacy system capacity: a framework for health literate systems.

Building health literacy system capacity: a framework for health literate systems.
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DOI:
10.1093/heapro/daab153
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发表时间:
2021-12-13
影响因子:
2.7
通讯作者:
Nutbeam D
Nutbeam D
中科院分区:
医学3区
文献类型:
--
作者:
Sørensen K;Levin-Zamir D;Duong TV;Okan O;Brasil VV;Nutbeam D

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较差的健康素养对人类和社会的影响是巨大和广泛的。健康素养是指个人能力和组织结构、资源和承诺,使人们能够以促进和保持良好健康的方式获取、理解、评估和使用信息和服务。要在全社会大规模提高健康素养,就需要政治上的认同和对各级健康素养能力的发展采取系统的方法。这篇文章提出了加强卫生知识普及系统能力的理由,并提出了一个框架,其中包含八个行动领域,以适应微观、中观和宏观层面所需的结构转型,包括普及卫生知识的劳动力、懂卫生知识的组织、卫生知识数据治理、基于用户参与的以人为本的服务和环境、卫生知识领导、卫生知识投资和财政资源、了解卫生知识的技术和创新,以及伙伴关系和跨部门合作。对卫生扫盲系统能力的投资确保作出必要和系统的努力和变革,这种努力和变革可以随着时间的推移而倍增和持续,并对外部趋势和事件具有复原力,而不是仅仅依靠组织和个人行为的改变。然而,挑战仍然存在,例如更详细地说明经济效益,开发和整合数据治理系统,并超越医疗保健,在更广泛的社会背景下参与卫生扫盲系统的能力。健康素养是指个人能力以及组织结构和资源,使人们能够以促进和保持健康的方式获取、理解、评估和使用信息和服务。为了满足与健康素养差的影响有关的需求,本文介绍了一个发展健康素养系统能力的框架,包括八个行动领域,包括发展健康素养劳动力、健康素养组织、健康素养数据治理、基于用户参与的以人为本的服务和环境、健康素养领导、健康素养投资和财政资源、了解健康素养的技术和创新,以及伙伴关系和跨部门合作。对卫生扫盲系统能力的投资确保了一种不受未来影响的努力,这种努力可以随着时间的推移而倍增和持续,而不是仅仅依赖于组织或个人行为的改变。
The human and social implications of poor health literacy are substantial and wide-ranging. Health literacy represents the personal competencies and organizational structures, resources and commitment that enable people to access, understand, appraise and use information and services in ways that promote and maintain good health. A large-scale societal improvement of health literacy will require political buy-in and a systematic approach to the development of health literacy capacity at all levels. This article builds the case for enhancing health literacy system capacity and presents a framework with eight action areas to accommodate the structural transformation needed at micro, meso and macro levels, including a health literate workforce, health literate organization, health literacy data governance, people-centred services and environments based on user engagement, health literacy leadership, health literacy investments and financial resources, health literacy-informed technology and innovation, and partnerships and inter-sectoral collaboration. Investment in the health literacy system capacity ensures an imperative and systemic effort and transformation which can be multiplied and sustained over time and is resilient towards external trends and events, rather than relying on organizational and individual behavioural change alone. Nevertheless, challenges still remain, e.g. to specify the economic benefits more in detail, develop and integrate data governance systems and go beyond healthcare to engage in health literacy system capacity within a wider societal context. Health literacy represents the personal competencies and organizational structures and resources enabling people to access, understand, appraise and use information and services in ways that promote and maintain good health. To meet the needs related to impact of poor health literacy, this article introduces a framework for the development of health literacy system capacity with eight action areas including the development of a health literate workforce, health literate organization, health literacy data governance, people-centred services and environments based on user engagement, health literacy leadership, health literacy investments and financial resources, health literacy-informed technology and innovation, and partnerships and inter-sectoral collaboration. Investment in health literacy system capacity ensures a future-proof effort that can be multiplied and sustained over time, rather than relying on organizational or individual behavioural change alone.
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