... on the organizational health literacy construct. Findings The health care organizations were unaware of several crucial issues to improve their meaningfulness. Problematic organizational health literacy was found to prevent patient involvement and to negatively affect the quality of interaction between the patients...

...? RQ2. How could the patients be engaged in the provision of health services and what barriers prevent patient involvement? RQ3. Last but not least, what are the potential impacts of health care co-production on health outcomes? With the purpose of providing a tentative answer...