Health literacy: What lessons can be learned from the experiences and policies of different countries?

Adriaenssens, Jef;Rondia, Karin;Van den Broucke, Stephan;Kohn, Laurence
(2022) International Journal of Health Planning and Management — Vol. 37, n° 2, p. 886-901 (2022)

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Abstract
Background: Adequate levels of health literacy (HL) are crucial to ensure good quality of health, social life and wellbeing. HL is a mediating factor in health disparities. Low HL hampers interaction with healthcare. HL is a shared responsibility of individuals and the healthcare system. Multi-dimensional programs and policies should be set up. Aim: To learn from current HL policies and action plans and to identify elements to consider for the development of national HL plans. Method: Transversal analysis of HL policies in six countries, based on a preliminary scoping review. A combination of document analysis and key informant approach. Local experts validated and completed information for their country. A transversal comparison was performed. Results: Several approaches were identified, often influenced by contextual factors, healthcare reforms and existence of centers of expertise. Some governments developed full-fledged, standalone plans, while others developed broader plans covering the entire health and care sector. Some took a conceptually driven, high level approach. Others took a pragmatic approach. And some did not have a governmental plan at all. Conclusion: Policy makers should analyse their state structure and health system, and search for local 'pockets of excellence', to develop a well-planned, substantiated HL approach for their country.
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Adriaenssens, J., Rondia, K., Van den Broucke, S., & Kohn, L. (2022). Health literacy: What lessons can be learned from the experiences and policies of different countries? International Journal of Health Planning and Management, 37(2), 886-901. https://doi.org/10.1002/hpm.3382 (Original work published 2022)