Health Literacy Knowledge，Health Education-related Attitude and Practice among GPs in Zhejiang

doi:10.12114/j.issn.1007-9572.2019.00.623

Abstract

Abstract: Background　Delivering health education is one of the duties of general practitioners（GPs）.Health literacy is the evaluation index of effectiveness of health education delivery.Although Chinese residents' health literacy has been assessed several times at the national level，GPs' health literary knowledge is still unknown.Objective　To explore health literacy knowledge，and health education-related attitude and practice in GPs，providing a theoretical basis for further implementation of health promotion activities by GPs.Methods　An online survey was conducted in March 2018 in GPs Alliance，the First Affiliated Hospital，Zhejiang University via a third-party platform with a self-developed questionnaire on basic information，health literacy knowledge，practice of health education，status of reaching the minimum health education practice targets performed by GPs in the national standards for the delivery of essential public health services，and health education-related attitude.Results　The prevalence of having health literacy knowledge in GPs was 56.2% generally.The prevalence of knowing the definition，contents and classification of health literacy was 60.6%（126/208），97.6%（203/208） and 93.8%（195/208），respectively.65.9%（137/208） of the GPs often delivered health education in daily work，mainly using the traditional lecture model and outpatient health education is the most common（91.8%，191/208）.The highest rate of meeting the minimum requirements of the national public health standard was 78.8%（164/208）.97.6%（203/208） of the GPs thought it is necessary to perform health education and they preferred to carry out health promotion activities.Conclusion　General practitioners have a high awareness rate of health literacy，a single form of health education，and the standard of health education is still acceptable.The internet can be used in novel models for implementing health education.

Key words: General practitioners；Health literacy；Health knowledge, attitudes, practice；Health education

摘要： 背景　健康教育是全科医师的职责之一，健康素养是健康教育效果评价指标，目前国家已开展数次健康素养评价，然而全科医师对健康素养知晓情况尚不可知。目的　了解全科医师健康素养知晓情况及健康教育开展态度、行为，为全科医师更好地开展健康促进活动提供理论依据。方法　于2018年3月采用自制问卷，在浙江大学医学院附属第一医院全科医学联盟内利用第三方平台进行调查，调查内容包括全科医师的基本信息，健康素养知识，健康教育行为开展、达标情况，对健康教育的态度。结果　共收集有效问卷208份，全科医师健康素养总体知晓率为56.2%，健康素养定义、内涵及分类知晓率分别为60.6%（126/208）、97.6%（203/208）及93.8%（195/208）；65.9%（137/208）的全科医师在平时工作中经常开展健康教育，健康教育形式以传统形式为主，且以门诊健康教育形式最常见（91.8%，191/208）。健康教育宣传栏设置和内容更新频次符合国家公共卫生规范最低要求的达标率最高为78.8%（164/208）。97.6%（203/208）全科医师认为有必要且愿意开展健康教育活动。结论　全科医师健康素养知晓率高，开展健康教育形式单一，开展健康教育达标情况尚可，后期可利用“互联网+健康教育”模式开展新型健康教育活动。

关键词: 全科医生；健康素养；健康知识, 态度, 实践；健康教育

QIU Yan,WU Linfei,REN Wen, et al. Health Literacy Knowledge，Health Education-related Attitude and Practice among GPs in Zhejiang　[J]. Chinese General Practice, 2019, 22(34): 4256-4260. DOI: 10.12114/j.issn.1007-9572.2019.00.623.
邱艳,吴林飞,任文等. 浙江省全科医师健康素养知晓及健康教育态度、行为研究[J]. 中国全科医学, 2019, 22(34): 4256-4260. DOI: 10.12114/j.issn.1007-9572.2019.00.623.

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