Evidence map›Paper›PMID 32268620›Full record

ArticleInternational journal of environmental research and public health2020

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

Guglielmo Bonaccorsi, Anna Romiti, Francesca Ierardi, Maddalena Innocenti, Marco Del Riccio, Silvia Frandi, Letizia Bachini, Patrizio Zanobini, Fabrizio Gemmi, Chiara Lorini

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. [Organizational health literacy in German hospitals and nursing homes: state and perspectives].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. "Was Test Designed for Africans?" Health Literacy and African Immigrants.Journal of racial and ethnic health disparities · 2022
    Article
  14. Organizational Health Literacy in a Hospital-Insights on the Patients' Perspective.International journal of environmental research and public health · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Consideration of health literacy in implementation science.Journal of clinical and translational science · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Guglielmo BonaccorsiDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Anna RomitiDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy.
Francesca IerardiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Maddalena InnocentiDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Marco Del RiccioDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Silvia FrandiDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Letizia BachiniQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Patrizio ZanobiniDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Fabrizio GemmiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Chiara LoriniDepartment of Health Science, University of Florence, 50134 Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Delivery of Health CareHealth LiteracyHospitals, PrivateCross-Sectional StudiesHumansItalySurveys and Questionnaireshealth literacyHLHOperceived quality of care

Identifiers

PMID32268620
PMCPMC7178271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.