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Digital health literacy: New study shows need for action

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Smart apps and applications, such as memory training apps, help people to live safely and with a high quality of life at home for as long as possible. Credit: Shutterstock

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In an increasingly digitalized world, it is crucial that people can find, understand and use digital health information. Digital care and support concepts relieve and support those affected, relatives and care staff in their everyday lives. Particularly important at a time when there is a shortage of skilled workers and money: self-empowerment, self-help and the ability to understand (health) information.

The study HLS19-DIGI – A New Instrument for Measuring Digital Health Literacy, published in April 2025, provides the first Europe-wide insight into the digital health literacy (DHL) of over 28,000 people from 13 countries. And it provides clear recommendations on how we can close these gaps.

What is digital health literacy?

Digital health literacy describes the ability to search for and evaluate digital health information and make it useful for one’s own life – for example when using health apps, telemedicine platforms, digital medication plans or when communicating with health services via digital channels.

It’s not just about technical skills, but also about critical thinking: What health information is reliable? Where is advertising lurking? And how do I formulate my concerns clearly in a digital portal?

Key finding: Digital health literacy has a problem

The results are a wake-up call, because on average more than a third have major problems accessing, understanding and evaluating online health information:

  • A significant proportion of the population has difficulties processing digital health information.
  • Particularly problematic: assessing the reliability of information – a key element in dealing with digital health services.
  • Germany has the worst results of the 13 countries surveyed: Around 58% of respondents stated that they had difficulties dealing with digital health information.
  • Older people, people on low incomes or with a low level of education perform significantly worse on average – a clear indication of social inequality.

The study also confirms that people with higher DHL (digital health literacy) live healthier lives, perceive themselves as healthier and make more targeted use of health services. For senior living, this means that without DHL, there can be no participation in digitally supported independence.

The figure shows the results of the study on accessing, understanding, evaluating, and applying online health information for each country. Germany performs particularly poorly in this area. (Figure: Anja Herberth, source: DHL study/frontiersin.org
Measurement of the ability to access, understand, evaluate, and apply online health information for each country. Germany performs particularly poorly in this area. (Image: Anja Herberth, Source: DHL study/frontiersin.org
Recommendations for practice

The study proposes three central fields of action:

  1. Promoting digital health literacy through targeted training – especially for vulnerable groups.

  2. Quality assurance of digital health information – for example through certified platforms or comprehensible standard language.

  3. Strengthening organizational health literacy: The housing industry, care facilities and municipal stakeholders should also include the skills of their target group in digital innovations.

Digital health literacy is a key success factor for the design of smart living arrangements for older people. Only if older people can understand and use digital health information will they benefit from the potential of these living, care and support concepts. The study shows one thing very clearly: Digital technologies can build bridges – or erect new barriers. We are setting the course for this today.

Sources:

  • HLS19-DIGI Study – Frontiers in Public Health (2025)

  • M-POHL Health Literacy Consortium (WHO)

  • Own summary & analysis

Anja Herberth
Author: Anja Herberth

Chefredakteurin

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