DOI: 10.1093/eurpub/ckag169.762 ISSN: 1464-360X

Health Literacy Policy in Transition: The Danish Case

A Aaby

Abstract

Introduction

An increasing number of countries, both within and beyond the European region, are developing health literacy policies. National approaches vary considerably in their aims, their degree of integration into broader policy frameworks, and their implementation strategies. In Denmark, early efforts to integrate health literacy into national health policy agendas were characterized by informal, practice‑oriented initiatives endorsed by the National Health Authorities, while more recent developments show a growing integration into formal policy frameworks and public health guidance. This presentation examines the development of health literacy policy in Denmark, illustrated through examples from key national policy documents.

Methods

The presentation is based on an examination of selected Danish health policy texts, strategies, and clinical guidance documents published over time. The examination focuses on the identification of shifts in how health literacy is conceptualized and institutionalized, with particular attention to changes in the level of formality, policy integration, and implementation.

Results

The analysis illustrates a gradual transition from predominantly practice‑based and non‑binding initiatives towards more formalized policy approaches. Health literacy has become increasingly visible within strategic frameworks and public health guidance, reflecting a broader recognition of its relevance across health system levels over time.

Conclusions

The Danish case illustrates how health literacy policy can evolve from informal, practice‑oriented initiatives to more structurally embedded approaches across organisational and policy levels. Framed within a socioecological perspective, this development further highlights how health literacy is shaped not only by individual capacities but by the systems, institutions, and policy environments that enable or constrain them.

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