Evidence map›Paper›PMID 40475227›Full record

ArticleJournal of multidisciplinary healthcare2025

A Health Literate Healthcare Organization Index System for China: Based on CiteSpace and Qualitative Analysis.

Shenyu Zhao, Yang Chen, Xiyang Xia, Jing Zhou, Xiaoyu Wang, Qing Sun, Jiaqian Chang, Jiaying Ge, Lingmin Hu, Renjie Lu

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 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

10 authors.

Shenyu Zhao *Changzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Yang Chen *Department of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Xiyang XiaDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Jing ZhouDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Xiaoyu WangDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Qing SunChangzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Jiaqian ChangDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Jiaying GeDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Lingmin HuDepartment of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.
Renjie LuChangzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People's Republic of China.ORCID 0000-0003-2106-8277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to analyze the current status and development trends of health literate healthcare organization (HLHO) worldwide, and preliminarily construct an index system suitable for HLHO in China. Methods: This study first utilized CiteSpace for bibliometric analysis to explore global research hotspots and trends in HLHO. Based on these findings, expert opinions were gathered through focus group interviews to preliminarily develop the index system. Finally, semi-structured interviews in primary hospitals were conducted to optimize the system, assess its adaptability, and collect feedback for refinement. Results: CiteSpace bibliometric analysis identified high-frequency themes-including health literacy, education, service, communication, health information, digital healthcare, special populations, community, and management-as the primary indices of HLHO. Based on expert input from focus group discussions, an index system comprising 14 primary and 120 secondary indices was developed, covering key domains such as organizational management, health education, provider-patient communication, self-management, digital services, and support for vulnerable groups. Further expert interviews indicated that the system also had good local adaptability and strong potential for broader implementation in primary hospitals. Conclusion: The index system developed in this study provides both a theoretical framework and a practical tool to support the standardized construction of health-literate healthcare organizations in China. It not only integrates cutting-edge international experience but also aligns with the practical needs of the Chinese healthcare context, demonstrating strong adaptability and relevance. The system is expected to facilitate hospital self-assessment, quality improvement, patient support, and health education efforts, thereby laying a solid foundation for enhancing healthcare service quality and improving patients' health literacy. Moving forward, our research team will continue to optimize the index system for practical use, and initiate multicenter pilot studies and quantitative scale development to strengthen its operability and value for broader implementation.

Indexed as

CiteSpacefocus group interviewshealth literate healthcare organizationindex system

Identifiers

PMID40475227
PMCPMC12139633

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.