چکیده (انگلیسی):

Background:The evolving approach of health literate health care organizations (HLHO) receives considerable support
from health policy makers. Up to now, there are no performance measures available to assess the application of health
literacy strategies by health care professionals in the primary care setting. This paper describes the development and
validation of the Health Literate Primary Care Practice screener (HLPC). The screener can be used as a self-assessment
tool for primary care organizations (PCO) that aim to elucidate the health literacy responsiveness of their organization.
Methods:The HLPC is a 4-item screener developed in a multi-level process following a theory-driven approach
including a literature review, consultations with scientists and cognitive tests with patients in PCO. The screener
was applied in a national random sample ofN= 1125 adults living in Germany. Item and psychometric properties
were analyzed by determining item discrimination and reliability as well as performing a confirmatory factor analysis
(CFA) to test the instruments unidimensionality. Criterion validity was investigated by performing bivariate correlations
between the HLPC score and heath care quality measures.
Results:The HLPC scale demonstrated good item discrimination and internal consistency (α= 0.86). CFA verified a
one-factor structure of the scale and analysis on the criterion validity revealed a significant correlation between
the HLPC score and patients satisfaction with the general practitioner, accessibility of the PCO and support in
care-coordination received in the PCO.
Conclusions:The HLPC is a valid screener to provide insights in the extent of the utilization of health literacy
strategies in primary care practices