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医生健康素养能力:一项采用焦点小组的定性研究

Physician Health Literacy Competencies: A Qualitative Study Using Focus Groups.

作者信息

Chang Chia-Chen, Lai Hsiang-Ru, Tseng Pei-Ling, Liu Chun-Cheng, Ming Jin-Lain, Tung Chen-Yin

机构信息

Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Inquiry. 2025 Jan-Dec;62:469580251351455. doi: 10.1177/00469580251351455. Epub 2025 Jun 27.

Abstract

Health literacy is crucial for effective physician-patient communication, shared decision-making, and adherence to medical recommendations. This study aims to identify health literacy competencies required for physicians based on insights from physicians, medical interns, and patients. This qualitative study explored physicians' health literacy competencies through focus group discussions with 21 physicians, medical interns, and patients in Taiwan. Data were analyzed using content analysis to identify key themes and competency domains. Four key physician health literacy competency domains were identified: (1) assessing patients' health literacy, (2) strengthening physician-patient relationships, (3) facilitating shared decision-making, and (4) Teach-Back and confirmation of patient adherence. These findings highlight essential physician competencies in health literacy, emphasizing the importance of communication, trust, patient-centered decision-making, and structured feedback mechanisms to improve healthcare interactions and outcomes. Strengthening physician's health literacy competency is essential for improving patient engagement and adherence. Integrating health literacy training into medical education and promoting patient-centered communication can enhance healthcare outcomes.

摘要

健康素养对于有效的医患沟通、共同决策以及遵循医疗建议至关重要。本研究旨在根据医生、医学实习生和患者的见解,确定医生所需的健康素养能力。这项定性研究通过与台湾的21名医生、医学实习生和患者进行焦点小组讨论,探索了医生的健康素养能力。使用内容分析法对数据进行分析,以确定关键主题和能力领域。确定了四个关键的医生健康素养能力领域:(1)评估患者的健康素养,(2)加强医患关系,(3)促进共同决策,以及(4)反馈教学和确认患者的依从性。这些发现凸显了医生在健康素养方面的基本能力,强调了沟通、信任、以患者为中心的决策以及结构化反馈机制对于改善医疗互动和结果的重要性。加强医生的健康素养能力对于提高患者参与度和依从性至关重要。将健康素养培训纳入医学教育并促进以患者为中心的沟通可以改善医疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d6b/12205193/d76d87b4229f/10.1177_00469580251351455-fig1.jpg

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