背景：加强医院考虑公众健康素养水平的能力是提高医疗质量的必要条件。在医院制定适当的健康素养应对政策和战略的一种方法是使用自我评估工具来提高认识，帮助优先考虑行动并动员利益相关者。维也纳卫生扫盲组织(V-HLO)问卷，最近被翻译成法语，旨在实现这一目标。在这项研究中，我们在列日（比利时）的主要医院试用了法语版本的V-HLO（V-HLO-fr）工具，以探索其可行性，并首次了解参与医院的健康素养反应能力的优缺点。
方法：我们在三家医院进行了探索性案例研究。我们对V-HLO-fr的应用模式受到“RAND适当性”方法的启发：首先，内部多学科小组的个别成员填写了问卷，然后在每个医院的“圆桌会议”会议上集体讨论了结果。通过直接观察圆桌会议和半结构化电话采访来评估该过程的可行性。
结果：V-HLO-fr工具已在三家目标医院中得到充分应用，该过程似乎可以接受，可行且可积分。优势（例如，促进患者导航到医院）和弱点（例如，提供易于阅读，对健康信息材料的理解和行动）在健康素养响应方面得到了强调。
结论：V-HLO-fr可以成为需求评估的合适工具，使医院能够提高认识并制定有针对性的行动，以进一步加强其健康素养反应能力。其应用模式,通过从兰德方法中获得灵感来形式化，可以通过更加重视招募和支持参与者来进一步提高。V-HLO-fr及其在现实世界项目中的附加值现在应该在更多的医院中进行进一步测试。
BACKGROUND: Strengthening the capacity of hospitals to take into account the level of health literacy of their public is a necessity to improve the quality of care. One way to develop adequate health literacy responsive policy and strategies in hospitals is the use of self-assessment tools to raise awareness, help prioritise action and mobilise stakeholders. The Vienna Health Literate Organisation (V-HLO) questionnaire, recently translated and adapted into French, is designed to meet this objective. In this study we have piloted the French version of the V-HLO (V-HLO-fr) tool in the main hospitals of Liège (Belgium) to explore its feasibility and gain a first insight into the strengths and weaknesses of the health literacy responsiveness of the participating hospitals.
METHODS: We performed explorative
case studies in three hospitals. Our mode of application of the V-HLO-fr was inspired by the \'RAND Appropriateness\' method: first, individual members of an internal multidisciplinary panel filled out the questionnaire and then the results were discussed collectively in each hospital during a \'round table\' meeting. The feasibility of the process was assessed by direct observation of the round tables and with semi-structured phone interviews.
RESULTS: The V-HLO-fr tool was fully applied in the three targeted hospitals and the process seems to be acceptable, practicable and integrable. Strengths (e.g. the facilitation of patient navigation to the hospital) and weaknesses (e.g. the provision of easy to read, understand and act on health information materials) in terms of health literacy responsiveness have been highlighted.
CONCLUSIONS: V-HLO-fr can be a suitable tool for a needs assessment that allows hospitals to create awareness and formulate targeted actions to further strengthen their health literacy responsiveness. Its mode of application, formalised by taking inspiration from the RAND method, could be further improved by paying more attention to recruiting and supporting participants. The V-HLO-fr and its added value in real-world projects should now be further tested in a larger number of hospitals.
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