運用德菲法建構醫師健康識能專業知能指標之研究

Study of constructing indicators of physician's professional competence on health literacy by Delphi method

劉峻正(Chun-Cheng Liu) ； 張家臻(Chia-Chen Chang) ； 賴香如(Hsiang-Ru Lai) ； 蔡兆勳(Jaw-Shiun Tsai) ； 明金蓮(Jin-Lain Ming) ； 董貞吟(Chen-Yin Tung)

《台灣公共衛生雜誌》 39卷3期 (2020/06) Pp. 292-310

https://doi.org/10.6288/TJPH.202006_39(3).108130

摘要

目標：本研究旨在建構醫師健康識能專業知能指標，以促醫療提供者關注、掌握與因應病人健康識能、進行良好醫病溝通，並協助病人有效運用醫療資源。方法：本研究採德菲法，進行三回合調查，以凝聚13名專家之共識。根據文獻與焦點團體訪談結果，界定醫師健康識能專業知能之內涵與面向，並擬定指標初稿。在每回合調查歷程中，針對各項指標的適切性與一致性進行分析，依據專家意見修正與增刪指標。結果：建構「概念與評估」、「接納與尊重」、「溝通與互動」及「醫療資訊與決策」等四面向、13次面向、44項指標，以利醫師扮演健康識能評估者、接納者、規劃者及導引者之角色。結論：本研究建構之健康識能專業知能指標可作為未來規劃醫師健康識能專業知能相關職前與在職教育課程，以及研發相關測量工具之參考。

關鍵字

健康識能 ； 德菲法 ； 醫師 ； 醫病關係 ； 醫療資源

並列摘要

Objectives: This study aims to construct indicators of physicians' professional competence on health literacy in order to motivate healthcare providers to pay attention to master, and respond to patients' health literacy; conduct good doctor-patient communication; and assist patients in effectively using medical resources. Methods: The Delphi method was applied, and three rounds of investigation were conducted to gather the consensus of 13 experts. According to the literature and results of focus group interviews, the connotations and dimensions of physicians' professional competence on health literacy were defined, and the first draft of indicators was drawn up. In the course of each round of investigation, the suitability and consistency of various indicators were analyzed, and indicators were revised, added, or deleted according to the experts' opinions. Results: Four dimensions, namely ＂concept and evaluation＂, ＂acceptance and respect＂, ＂communication and interaction＂, and ＂medical information and decision-making＂; and 13 sub-dimensions and 44 indicators were constructed to help physicians play the roles of health literacy evaluators, receivers, planners, and guides. Conclusions: The indicators of physicians' professional competence on health literacy constructed in this study can be used as a reference for future planning of pre-service and on-the-job education courses related to physicians' professional competence on health literacy, as well as development of related measurement tools.

並列關鍵字

health literacy ； Delphi method ； physicians ； doctor-patient relations ； medical resources

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