{"id":"https://openalex.org/W7225314193","doi":"https://doi.org/10.1002/hsr2.73491","title":"Strategic Health Communication as a Value Practice: Insights From the German\u2010Speaking Healthcare Systems","display_name":"Strategic Health Communication as a Value Practice: Insights From the German\u2010Speaking Healthcare Systems","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225314193","doi":"https://doi.org/10.1002/hsr2.73491","pmid":"https://pubmed.ncbi.nlm.nih.gov/42990791","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13735222"},"language":"en","primary_location":{"id":"doi:10.1002/hsr2.73491","doi":"https://doi.org/10.1002/hsr2.73491","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73491","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73491","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73491","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5033337594","display_name":"Slavko Rogan","orcid":"https://orcid.org/0000-0003-0865-2575","observed_orcids":["https://orcid.org/0000-0003-0865-2575"]},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"Slavko Rogan","raw_affiliation_strings":["School of Health Professions, Division of Physiotherapy Bern University of Applied Sciences Bern Switzerland"],"raw_orcid":"https://orcid.org/0000-0003-0865-2575","affiliations":[{"raw_affiliation_string":"School of Health Professions, Division of Physiotherapy Bern University of Applied Sciences Bern Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015492414","display_name":"Katja Schlegel","orcid":"https://orcid.org/0000-0003-3768-5544","observed_orcids":["https://orcid.org/0000-0003-3768-5544"]},"institutions":[{"id":"https://openalex.org/I118564535","display_name":"University of Bern","ror":"https://ror.org/02k7v4d05","country_code":"CH","type":"education","lineage":["https://openalex.org/I118564535"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Katja Schlegel","raw_affiliation_strings":["Faculty of Human Science, Institute of Psychology University of Bern Bern Switzerland"],"raw_orcid":"https://orcid.org/0000-0003-3768-5544","affiliations":[{"raw_affiliation_string":"Faculty of Human Science, Institute of Psychology University of Bern Bern Switzerland","institution_ids":["https://openalex.org/I118564535"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020185915","display_name":"Eefje Luijckx","orcid":"https://orcid.org/0000-0002-8903-3460","observed_orcids":["https://orcid.org/0000-0002-8903-3460"]},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Eefje Luijckx","raw_affiliation_strings":["School of Health Professions, Division of Physiotherapy Bern University of Applied Sciences Bern Switzerland"],"raw_orcid":"https://orcid.org/0000-0002-8903-3460","affiliations":[{"raw_affiliation_string":"School of Health Professions, Division of Physiotherapy Bern University of Applied Sciences Bern Switzerland","institution_ids":["https://openalex.org/I130692619"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5033337594"],"corresponding_institution_ids":["https://openalex.org/I130692619"],"apc_list":{"value":3280,"currency":"USD","value_usd":3280},"apc_paid":{"value":3280,"currency":"USD","value_usd":3280},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87476846,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"11","first_page":"e73491","last_page":"e73491"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.8930000066757202},{"id":"https://openalex.org/keywords/ehealth-literacy","display_name":"digital health literacy","score":0.7770000100135803},{"id":"https://openalex.org/keywords/plain-language","display_name":"plain language","score":0.6449999809265137},{"id":"https://openalex.org/keywords/teach-back","display_name":"teach-back","score":0.9829999804496765},{"id":"https://openalex.org/keywords/crisis-communication","display_name":"crisis communication","score":0.8009999990463257},{"id":"https://openalex.org/keywords/patient-involvement","display_name":"patient involvement","score":0.8209999799728394},{"id":"https://openalex.org/keywords/co-production","display_name":"co-production","score":0.6460000276565552},{"id":"https://openalex.org/keywords/trust-and-transparency","display_name":"trust and transparency","score":0.8370000123977661},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.5490000247955322}],"concepts":[{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.6348999738693237},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.5898000001907349},{"id":"https://openalex.org/C2780076394","wikidata":"https://www.wikidata.org/wiki/Q7621829","display_name":"Strategic communication","level":2,"score":0.5885999798774719},{"id":"https://openalex.org/C2778143727","wikidata":"https://www.wikidata.org/wiki/Q1820650","display_name":"Readability","level":2,"score":0.5771999955177307},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.5724999904632568},{"id":"https://openalex.org/C158154518","wikidata":"https://www.wikidata.org/wiki/Q7310970","display_name":"Relevance (law)","level":2,"score":0.5720999836921692},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.5692999958992004},{"id":"https://openalex.org/C116314809","wikidata":"https://www.wikidata.org/wiki/Q1937189","display_name":"Organizational communication","level":2,"score":0.5259000062942505},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.5117999911308289},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.5066999793052673},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.474700003862381},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4690000116825104},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4650000035762787},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.45010000467300415},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.4081000089645386},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4016000032424927},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.39739999175071716},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3952000141143799},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.39430001378059387},{"id":"https://openalex.org/C166052673","wikidata":"https://www.wikidata.org/wiki/Q83021","display_name":"Empirical evidence","level":2,"score":0.37369999289512634},{"id":"https://openalex.org/C2777646416","wikidata":"https://www.wikidata.org/wiki/Q242069","display_name":"Digital literacy","level":2,"score":0.35359999537467957},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.33799999952316284},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.3375000059604645},{"id":"https://openalex.org/C91034043","wikidata":"https://www.wikidata.org/wiki/Q223642","display_name":"Interpersonal relationship","level":2,"score":0.30640000104904175},{"id":"https://openalex.org/C68991459","wikidata":"https://www.wikidata.org/wiki/Q11700776","display_name":"Value proposition","level":2,"score":0.2856999933719635},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2833999991416931},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2775000035762787},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.26460000872612},{"id":"https://openalex.org/C2776058685","wikidata":"https://www.wikidata.org/wiki/Q378874","display_name":"Crisis communication","level":2,"score":0.26409998536109924},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.25999999046325684},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.25270000100135803}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/hsr2.73491","doi":"https://doi.org/10.1002/hsr2.73491","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73491","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73491","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13735222","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735222/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735222/pdf/HSR2-9-e73491.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Sci Rep","raw_type":"Text"},{"id":"pmid:42990791","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42990791","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health science reports","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d37fe6a3a5c444a1bf439b06a84f248a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d37fe6a3a5c444a1bf439b06a84f248a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Science Reports, Vol 9, Iss 11, Pp n/a-n/a (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/hsr2.73491","doi":"https://doi.org/10.1002/hsr2.73491","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73491","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73491","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225314193.pdf","grobid_xml":"https://content.openalex.org/works/W7225314193.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W1997839101","https://openalex.org/W2101761001","https://openalex.org/W2137800079","https://openalex.org/W2586363916","https://openalex.org/W2791737235","https://openalex.org/W2985236014","https://openalex.org/W3020650274","https://openalex.org/W3046072662","https://openalex.org/W4200008311","https://openalex.org/W4205315127","https://openalex.org/W4213108771","https://openalex.org/W4225393485","https://openalex.org/W4285826421","https://openalex.org/W4319298476","https://openalex.org/W4319827655","https://openalex.org/W4386371773","https://openalex.org/W4392246837","https://openalex.org/W4402893531","https://openalex.org/W4403277292","https://openalex.org/W4403362628","https://openalex.org/W4405741432","https://openalex.org/W4406193028","https://openalex.org/W4406399882","https://openalex.org/W4407871173","https://openalex.org/W4410080363","https://openalex.org/W4412924651","https://openalex.org/W4414111549","https://openalex.org/W4415206732","https://openalex.org/W4415751730"],"related_works":["https://openalex.org/W4296952990","https://openalex.org/W2620498398","https://openalex.org/W2070733774","https://openalex.org/W7010322837","https://openalex.org/W4307384286","https://openalex.org/W7203929113","https://openalex.org/W7131769606","https://openalex.org/W2060062043","https://openalex.org/W2589016542","https://openalex.org/W4285816826"],"abstract_inverted_index":{"Background":[0],"and":[1,15,18,27,42,48,62,70,74,89,107,114,129,147,154],"Aim:":[2],"This":[3],"study":[4],"synthesizes":[5],"value\u2011related":[6],"patterns":[7],"of":[8,99],"strategic":[9],"health":[10,29,100,123],"communication":[11,124,150,157],"across":[12,67,83],"macro,":[13],"meso":[14],"micro":[16],"levels":[17,69],"analyses":[19],"their":[20],"relevance":[21],"for":[22,72,162],"functional,":[23],"interactive,":[24],"critical,":[25],"digital":[26,56,109],"organizational":[28,54,102,128],"literacy":[30],"(HL).":[31],"Methods:":[32],"A":[33],"narrative,":[34],"theory\u2011informed":[35],"synthesis":[36],"was":[37,65],"conducted,":[38],"integrating":[39],"15":[40],"empirical":[41],"conceptual":[43],"articles":[44],"from":[45,51],"Austria,":[46],"Germany":[47],"Switzerland.":[49],"Evidence":[50],"population":[52],"surveys,":[53],"assessments,":[55],"content":[57],"analyses,":[58],"qualitative":[59],"youth":[60],"studies":[61],"crisis\u2011communication":[63],"research":[64],"categorized":[66],"system":[68],"analysed":[71],"explicit":[73],"implicit":[75],"value":[76,80],"dimensions.":[77],"Results:":[78],"Five":[79],"configurations":[81],"emerged":[82],"contexts:":[84],"clarity-safety-rights,":[85],"participation-appreciation-co\u2011production,":[86],"trust-transparency-consistency,":[87],"inclusion-equity-accessibility":[88],"digitality-risk":[90],"literacy-source":[91],"criticism.":[92],"Structural":[93],"obstacles":[94],"such":[95,140],"as":[96,141],"low":[97],"readability":[98],"websites,":[101],"gaps":[103],"in":[104],"patient":[105],"involvement":[106],"marked":[108],"HL":[110,135,164],"inequalities":[111],"among":[112],"adolescents":[113],"multimorbid":[115],"older":[116],"adults":[117],"were":[118],"consistently":[119],"documented.":[120],"Discussion:":[121],"Strategic":[122],"succeeds":[125],"when":[126],"systemic,":[127],"interpersonal":[130],"values":[131],"align.":[132],"Misalignments":[133],"create":[134],"gradients,":[136],"while":[137],"value\u2011driven":[138],"practices":[139],"plain":[142],"language,":[143],"teach\u2011back,":[144],"multimodal":[145],"formats":[146],"empathetic":[148],"crisis":[149],"enhance":[151],"comprehension,":[152],"trust":[153],"engagement.":[155],"Value\u2011oriented":[156],"frameworks":[158],"are":[159],"therefore":[160],"essential":[161],"equitable":[163],"promotion.":[165]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}