標準化病人與一般民眾健康識能差異之探討—以某醫學中心為例

Investigating the differences in health literacy between standardized patients and the general public —Using a medical center as an example

李美美(Mei-Mei Li)

指導教授 ： 董鈺琪

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2021年)

https://doi.org/10.6342/NTU202101290

摘要

研究背景與目的：健康識能代表個人對健康資訊聽、說、讀、寫及理解運用的能力，良好的健康識能程度可以影響個人健康，並可有效降低醫療利用，標準化病人因參與醫學教育相關訓練及演出活動，可以理解或想像他們對醫療資訊可能比一般人有較多的了解，其健康識能程度是否與一般民眾有所差異，值得進一步探討。本研究目的主要係進行標準化病人與一般民眾健康識能差異之探討。
研究方法：本研究以台大醫院標準化病人及來院就診或至健康教育中心諮詢之民眾為研究對象，以方便取樣方式，選取各100名樣本，資料蒐集方式係利用標準化病人參加教育訓練課程期間及詢問來院就診或個別前往健康教育中心諮詢之一般民眾。本研究以國家衛生研究院所發展出中文健康識能評估表簡式量表(short-form Mandarin Health Literacy scale, s-MHLS)為主要健康識能評估工具，進行複線性迴歸分析。
研究結果：標準化病人的健康識能平均分數為10.20分（10.20 ± 1.10），一般民眾的健康識能平均分數為9.50分 (9.50 ± 1.72)，得分範圍為0-11分，顯示標準化病人之健康識能程度比一般民眾健康識能程度好（平均得分高0.7分），且達顯著差異(P值為0.002)。不過在同時控制社會人口學各個變項相同的情況之下，標準化病人之健康識能分數平均只較一般民眾高0.09分，且沒有達到統計上的顯著差異(P值為0.692)。
研究結論：本研究結果發現，在未控制社會人口學相關因子的情況下，標準化病人健康識能比一般民眾高，且達顯著差異，惟在控制社會人口學相關因子的情況下，標準化病人之健康識能平均得分只比一般民眾高一點，且未達顯著差異。因此，未來可探討標準化病人受訓前、後及不同醫院標準化病人健康識能程度的差異，以及納入更多不同影響健康識能表現的因素作進一步的比較分析。

關鍵字

健康識能 ； 標準化病人

並列摘要

Background and Objective：
Health literacy can represent an individual’s ability to listen, speak, read, write, and understand health information. The proficiency of health literacy can affect personal health and effectively reduce use of medical care. As standardized patients participate in medical education-related training and performance activities, we can realize that these patients can possess more cognition about medical resources. The objective of this study was to investigate the differences in health literacy between the standardized patients and the general public.
Method：
The standardized patients volunteering for the Objective Structural Clinical Evaluation (OSCE) at National Taiwan University Hospital and the people who come to the Health Education Center in National Taiwan University Hospital are eligible to participate in this study. Purposeful sampling was conducted to recruit approximately 100 standardized patients and 100 lay persons. Background information for each participant will be collected, and the short-form Mandarin Health Literacy scale (s-MHLS) developed by the National Institutes of Health as the main health literacy assessment tool will be used for measuring each participant’s health literacy.
Results：
The comparing scores of health literacy between standardized patients and the general public were 10.20 ± 1.10 vs. 9.50 ± 1.72, P＝0.002, which indicated that the level of health literacy of standardized patients is better than that of the general public (score range is 0-11 points). However, there were no significant differences between these two groups by multiple variable linear regression analysis (P＝0.692).
Conclusion：
In this study, we found the standardized patients had higher health literacy scores, but no significant difference was identified in multiple variable linear regression analyses. Therefore, we may explore the differences in the health literacy of standardized patients before and after medical trainings, and compare these differences between hospitals in the future. Furthermore, we may also include more possible confounding factors while examining the relationship between standardized patients/the general public and health literacy.

並列關鍵字

Health literacy ； Standardized patients

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