Anders L Hage Haugen, Kirsti Riiser, Marc Esser-Noethlichs, Ove Edvard Hatlevik
Developing Indicators to Measure Critical Health Literacy in the Context of Norwegian Lower Secondary Schools
International journal of environmental research and public health
digitalization public health sectors worldwide fundamentally changing health systems implementation digital health services health institutions focus digital health literacy use digital health services become evident denmark public institutions use digital tools different purposes aiming create universal public digital sector everyone however digitalization risks reducing equity health marginalizing citizens disadvantaged therefore knowledge needed regarding patients digital practices experiences digital health services study aims examine digital practices experiences public digital health services digital tools perspective patients neurology field address following research questions 1 patients use digital services digital tools 2 experience used qualitative design hermeneutic approach conducted 31 semistructured interviews patients hospitalized formerly hospitalized department neurology hospital denmark interviews audio recorded subsequently transcribed text transcribed interview analyzed using manifest content analysis analysis provided insights 4 different categories regarding digital practices experiences using digital tools services health care systems social resources digital lifeline possessing necessary capabilities big feelings facilitators barriers life without digital tools findings show digital tools experienced differently specific conditions important possibility engaging digital practices including access social resources possessing physical cognitive communicative capabilities feeling motivated secure comfortable prerequisites necessary participants positive experiences using digital tools health care system prerequisites experienced challenges cases felt left experiences digital practices digital health services complex multifaceted engagement digital practices examined population requires access continuous assistance social network patients meet requirements digital health services experienced exclusionary source concern physical cognitive communicative difficulties might make impossible use digital tools create challenges ensure digitalization create inequities health necessary developers institutions aware differences digital health literacy focus simplifying communication patients next kin find flexible solutions citizens disadvantaged