Abstract

There is a growing need for a system change towards more patient-centred and health literate healthcare systems. One valuable approach for change on the system-level is the redesign of health organizations to health literate healthcare organizations (HLHO). This process requires sufficient efforts in teamwork, committed leadership and outcome monitoring. Nurses could make major contributions to the overall system change by integrating their expertise in the redesign of health care organizations in health literate ones.

Highlights

  • Most healthcare systems face a rapid transformation of care processes and structures due to fast-moving technological developments in the fields of medical research and health information technology leading to advances in healthcare coverage and delivery system design [1]

  • The Institute of Medicine as well as the US Department of Health and Human Services propose to address the challenges of limited health literacy by transforming healthcare systems to more health literate ones by integrating elements of patient-centred care and health literacy into processes and structures of healthcare organizations [9,10]

  • In order to be health literate, healthcare organizations need to implement structures that ensure that patients understand relevant health information and are capable to act upon these information in order to make thorough health decisions

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Summary

Relevance of System Redesign for Public Health and Population Health Outcomes

Most healthcare systems face a rapid transformation of care processes and structures due to fast-moving technological developments in the fields of medical research and health information technology leading to advances in healthcare coverage and delivery system design [1] These changes constantly increase the complexity of healthcare systems demanding more patient engagement and broader patient capacities to navigate through healthcare systems [2,3]. Since health literacy is the product of individual capabilities and the health literacy related demands emerging from the complexity of healthcare systems, HLHO represent a valuable way to align healthcare demands better with patients and public skills and capacities [13,14] In this regard, a HLHO supports patients to navigate, understand, and use information and services to take care of their health [11].

Examples of nurse role
Prepares the workforce to be health literate and monitors programs

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