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Article

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

1
Department of Health Science, University of Florence, 50134 Florence, Italy
2
Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
3
Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2508; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072508
Received: 19 February 2020 / Revised: 3 April 2020 / Accepted: 5 April 2020 / Published: 6 April 2020
(This article belongs to the Special Issue Advances in Communication and Public Health)
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. View Full-Text
Keywords: HLHO; perceived quality of care; health literacy HLHO; perceived quality of care; health literacy
MDPI and ACS Style

Bonaccorsi, G.; Romiti, A.; Ierardi, F.; Innocenti, M.; Del Riccio, M.; Frandi, S.; Bachini, L.; Zanobini, P.; Gemmi, F.; Lorini, C. Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany. Int. J. Environ. Res. Public Health 2020, 17, 2508. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072508

AMA Style

Bonaccorsi G, Romiti A, Ierardi F, Innocenti M, Del Riccio M, Frandi S, Bachini L, Zanobini P, Gemmi F, Lorini C. Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany. International Journal of Environmental Research and Public Health. 2020; 17(7):2508. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072508

Chicago/Turabian Style

Bonaccorsi, Guglielmo, Anna Romiti, Francesca Ierardi, Maddalena Innocenti, Marco Del Riccio, Silvia Frandi, Letizia Bachini, Patrizio Zanobini, Fabrizio Gemmi, and Chiara Lorini. 2020. "Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany" International Journal of Environmental Research and Public Health 17, no. 7: 2508. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072508

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