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Organizational Health Literacy in a Hospital—Insights on the Patients’ Perspective

Author

Listed:
  • Johanna Sophie Lubasch

    (Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

  • Mona Voigt-Barbarowicz

    (Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

  • Nicole Ernstmann

    (Center for Health Communication and Health Services Research (CHSR), Department of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany)

  • Christoph Kowalski

    (German Cancer Society (DKG), 14057 Berlin, Germany)

  • Anna Levke Brütt

    (Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

  • Lena Ansmann

    (Department of Health Services Research, University of Oldenburg, 26129 Oldenburg, Germany)

Abstract

Health literacy-sensitive communication has been found to be an important dimension of organizational health literacy measured from the patients’ perspective. Little is known about the role of health literacy-sensitive communication in complex care structures. Therefore, our aim was to assess which hospital characteristics (in terms of process organization) and patient characteristics (e.g., age, chronic illness, etc.) contribute to better perceptions of health literacy-sensitive communication, as well as whether better health literacy-sensitive communication is associated with better patient reported experiences. Data were derived from a patient survey conducted in 2020 in four clinical departments of a university hospital in Germany. Health literacy-sensitive communication was measured with the HL-COM scale. Data from 209 patients (response rate 24.2%) were analyzed with a structural equation model (SEM). Results revealed that no patient characteristics were associated with HL-COM scores. Better process organization as perceived by patients was associated with significantly better HL-COM scores, and, in turn, better HL-COM scores were associated with more patient-reported social support provided by physicians and nurses as well as fewer unmet information needs. Investing into good process organization might improve health literacy-sensitive communication, which in turn has the potential to foster the patient–provider relationship as well as to reduce unmet information needs of patients.

Suggested Citation

  • Johanna Sophie Lubasch & Mona Voigt-Barbarowicz & Nicole Ernstmann & Christoph Kowalski & Anna Levke Brütt & Lena Ansmann, 2021. "Organizational Health Literacy in a Hospital—Insights on the Patients’ Perspective," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12646-:d:692100
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    2. Jonas Lander & Marie-Luise Dierks & Melanie Hawkins, 2022. "Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices," IJERPH, MDPI, vol. 19(12), pages 1-5, June.

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