Journal
QUALITY MANAGEMENT IN HEALTH CARE
Volume 27, Issue 2, Pages 93-97Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QMH.0000000000000162
Keywords
health literacy; organizational behavior; organizational development; organizational health literacy; workforce development
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Background: Organizational health literacy is the degree to which an organization considers and promotes the health literacy of patients. Addressing health literacy at an organizational level has the potential to have a greater impact on more health consumers in a health system than individual-level approaches. Objective: The purpose of this study was to assess health care practices at an academic health center using the 10 attributes of a health-literate health care organization. Methods: Using a survey research design, the Health Literate Healthcare Organization 10-Item Questionnaire was administered online using total population sampling. Employees (N = 10 300) rated the extent that their organization's health care practices consider and promote patients' health literacy. Differences in responses were assessed using factorial analysis of variance. Results: The mean response was 4.7 on a 7-point Likert scale. Employee training and communication about costs received the lowest ratings. Univariate analyses revealed that there were no statistically significant differences (P =.05) by employees' health profession, years of service, or level of patient contact. There were statistically significant differences by highest education obtained with lowest ratings from employees with college degrees. Conclusions: Survey responses indicate a need for improvements in health care practices to better assist patients with inadequate health literacy.
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