Evidence map›Paper›PMID 39994053›Full record

ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2025

[Organizational health literacy in German hospitals and nursing homes: state and perspectives].

Eva Maria Bitzer, Nicola Häberle, Katharina Rathmann, Zeynep Islertas

Abstract readEnglish Abstract
In one paragraph

Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Eva Maria BitzerInstitut für Alltagskultur, Bewegung und Gesundheit, Public Health & Health Education, Pädagogische Hochschule, Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland. Evamaria.bitzer@ph-freiburg.de.
Nicola HäberleInstitut für Alltagskultur, Bewegung und Gesundheit, Public Health & Health Education, Pädagogische Hochschule, Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland.
Katharina RathmannFachbereich Gesundheitswissenschaften, Public Health Zentrum Fulda (PHZF), Hochschule Fulda, Fulda, Deutschland.
Zeynep IslertasInstitut für Alltagskultur, Bewegung und Gesundheit, Public Health & Health Education, Pädagogische Hochschule, Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear to what extent hospitals and nursing homes in Germany make it easier for people to navigate, understand, and use information and services to take care of their health, that is, demonstrate organizational health literacy (oHL), and which aspects are essential for identifying approaches to promoting oHL.

methodsThe basis is formed by three independently conducted research projects: (1) a survey of hospitals (HO) and nursing homes (NH) (EwiKo, 2021), (2) a survey of hospitals (GK-KH, 2022), and (3) a consensus process to reduce a detailed self-assessment tool (SAT-OHL-Hos v1.1; 2024). In (1) and (2), all German hospitals and the 1475 NH in Saxony and Thuringia were included, and the HLHO-10 (range 1 to 7, high values = high oGK) was used. The consensus process was carried out in the WHO network M‑POHL with the aim of reducing the 141 indicators by about two-thirds while maintaining the depth and breadth of the concept in three steps: prioritization of indicators at the national level, merging of national votes, consensus in the international working group.

resultsEvaluable questionnaires were received from 195 NH, 62 HO, and 291 HO (response rate: 13.2%, 3.2%, and 11%, respectively). The mean values of the 10 HLHO-10 standards ranged from 3.5 to 5.7, with no substantial differences between hospitals and nursing homes. The consensus process led to a reduced instrument of 54 items. Among other things, the discussion addressed the question of what can be expected across countries. DISCUSSION: For the first time, data on oHL in nursing homes are available. The self-assessed oHL of the surveyed institutions is in the medium to good range. The SAT-OHL-Hos V2, now shortened by about one-third, is a "short, detailed" and internationally applicable instrument ready for empirical testing.

Indexed as

Health LiteracyHospitalsNursing HomesGermanyHumansGermanyHospitalsInstrument developmentNursing homeOrganizational health literacy

Identifiers

PMID39994053
PMCPMC11868172

What OpenQuestion holds

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Registered trials

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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.