Chang Chia-Chen, Tseng Pei-Ling, Liu Chun-Cheng, Ming Jin-Lain, Fan Su-Hao, Tung Chen-Yin
Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Department of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan.
Medicine (Baltimore). 2025 Feb 28;104(9):e41643. doi: 10.1097/MD.0000000000041643.
This study aimed to develop a physician's Health Literacy Competence Scale that emphasizes the importance of enhancing patient health literacy for effective patient-centered care. A literature review of health literacy and existing measurement tools was conducted to develop the scale's structure and items. The scale was refined through a cross-sectional design in 2 stages: item testing and examination of reliability and validity. Exploratory factor analysis was conducted on the pilot test results of 127 medical students. Items with cross and low factor loadings were deleted, resulting in the retention of 25 items. Subsequently, 203 medical students were recruited as samples for confirmatory factor analysis. Items with excessively large modification indices were excluded from analysis. Finally, 20 items were retained, comprising 4 factors: building doctor-patient trust, providing a supportive environment, shared decision-making, and verifying medication adherence. Analysis of content, internal consistency, and construct validity confirmed the strong reliability and validity of the Physician's Health Literacy Competence Scale. This effective tool serves curriculum development and assessment in medical education while also offering valuable insights into potential reforms in related courses.
本研究旨在开发一种医生健康素养能力量表，该量表强调提高患者健康素养对于以患者为中心的有效护理的重要性。对健康素养和现有测量工具进行了文献综述，以确定量表的结构和项目。该量表通过两阶段的横断面设计进行完善：项目测试以及可靠性和有效性检验。对127名医学生的预测试结果进行了探索性因素分析。删除了交叉负荷和低因素负荷的项目，最终保留了25个项目。随后，招募了203名医学生作为样本进行验证性因素分析。排除了修正指数过大的项目进行分析。最后保留了20个项目，包括4个因素：建立医患信任、提供支持性环境、共同决策以及核实用药依从性。内容分析、内部一致性分析和结构效度分析证实了医生健康素养能力量表具有很强的可靠性和有效性。这个有效的工具可用于医学教育中的课程开发和评估，同时也为相关课程的潜在改革提供了有价值的见解。
