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Aim <p>Organisational health literacy (OHL) aims to reduce complexities of healthcare organisations while simplifying access and utilisation of health-related information. However, there is limited overview of the state of OHL, in particular, outside hospital settings. This article aims to explore concepts and approaches, checklists or instruments for assessing OHL, and tools/guides on how to improve OHL in ambulatory care and primary healthcare (PHC) in the literature and experience with implementing OHL in these settings.</p> Methods <p>A two-stage rapid scoping review was conducted following PRISMA guidelines. After an initial search for publications through November 2021 was performed, the review was updated, focusing specifically on PHC-related publications until late 2023. The extracted data was analysed using exploratory and qualitative methods, with no predetermined framework used. Similar search strategies and databases were employed.</p> Results <p>Out of the overall 6041 identified publications, 98 were included in the analysis. Despite some de facto standard, no uniformly accepted definition of OHL could be identified. The analysis of checklists and toolboxes/guides revealed a wide variety of scopes, details, and conceptual anchoring, often focusing on hospitals. There is little clarity on the transferability between sectors or the suitability of generic approaches.</p> Conclusion <p>Despite progress in many areas of OHL, conceptual development has not received sufficient attention, in particular regarding PHC. Regular assessment of the psychometric characteristics of checklists and the systematic revision of toolboxes’/guides’ manuals should become the standard. To advance OHL, research on transferability and setting-specific approaches is needed alongside collaboration with implementation science to support implementation into different settings.</p>

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A rapid scoping review on health literate organisations with a focus on primary care

  • 期刊论文

  • 发表日期：

    2025年8月26日

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  • Alexander Haarmann,
  • Dominique Vogt,
  • Lennert Griese,
  • Doris Schaeffer

摘要

Aim

Organisational health literacy (OHL) aims to reduce complexities of healthcare organisations while simplifying access and utilisation of health-related information. However, there is limited overview of the state of OHL, in particular, outside hospital settings. This article aims to explore concepts and approaches, checklists or instruments for assessing OHL, and tools/guides on how to improve OHL in ambulatory care and primary healthcare (PHC) in the literature and experience with implementing OHL in these settings.

Methods

A two-stage rapid scoping review was conducted following PRISMA guidelines. After an initial search for publications through November 2021 was performed, the review was updated, focusing specifically on PHC-related publications until late 2023. The extracted data was analysed using exploratory and qualitative methods, with no predetermined framework used. Similar search strategies and databases were employed.

Results

Out of the overall 6041 identified publications, 98 were included in the analysis. Despite some de facto standard, no uniformly accepted definition of OHL could be identified. The analysis of checklists and toolboxes/guides revealed a wide variety of scopes, details, and conceptual anchoring, often focusing on hospitals. There is little clarity on the transferability between sectors or the suitability of generic approaches.

Conclusion

Despite progress in many areas of OHL, conceptual development has not received sufficient attention, in particular regarding PHC. Regular assessment of the psychometric characteristics of checklists and the systematic revision of toolboxes’/guides’ manuals should become the standard. To advance OHL, research on transferability and setting-specific approaches is needed alongside collaboration with implementation science to support implementation into different settings.