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Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany

Author

Listed:
  • Guglielmo Bonaccorsi

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Anna Romiti

    (Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy)

  • Francesca Ierardi

    (Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy)

  • Maddalena Innocenti

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Marco Del Riccio

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Silvia Frandi

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Letizia Bachini

    (Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy)

  • Patrizio Zanobini

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

  • Fabrizio Gemmi

    (Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy)

  • Chiara Lorini

    (Department of Health Science, University of Florence, 50134 Florence, Italy)

Abstract

The concept of Health-Literate Healthcare Organization (HLHO) concerns the strategies by which healthcare organizations make it easier for people to navigate, understand, and use information and services to take care of their health. The aims of this study were to validate the HLHO-10 questionnaire in the Italian language; to measure the degree of implementation of the 10 attributes of HLHOs in a sample of hospitals placed in Tuscany; and to assess the association between the degree of implementation of the 10 attributes of HLHOs and the perceived quality of care. This was a cross-sectional study where data were collected using a self-administered questionnaire including three sections: a descriptive section, a section focused on the perceived quality, and the Italian version of the HLHO-10 questionnaire. A total amount of 405 healthcare managers answered the questionnaire (54.9%). The analysis shows that the HLHO score is significantly associated with the type of hospitals: accredited private hospitals have higher HLHO scores. Moreover, the perceived quality increases with the increasing of the HLHO score, with the highest coefficient for local public hospitals. In conclusion, Organizational Health Literacy culture should be an integral element for the management to improve the quality of care.

Suggested Citation

  • Guglielmo Bonaccorsi & Anna Romiti & Francesca Ierardi & Maddalena Innocenti & Marco Del Riccio & Silvia Frandi & Letizia Bachini & Patrizio Zanobini & Fabrizio Gemmi & Chiara Lorini, 2020. "Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2508-:d:342112
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Patrizio Zanobini & Chiara Lorini & Alberto Baldasseroni & Claudia Dellisanti & Guglielmo Bonaccorsi, 2020. "A Scoping Review on How to Make Hospitals Health Literate Healthcare Organizations," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    3. Baker, D.W. & Parker, R.M. & Williams, M.V. & Clark, W.S. & Nurss, J., 1997. "The relationship of patient reading ability to self-reported health and use of health services," American Journal of Public Health, American Public Health Association, vol. 87(6), pages 1027-1030.
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    Cited by:

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