医疗机构健康素养测量指标体系的构建研究

Research on the Construction of Measurement Indicator System of Health Care Organization Health Literacy

目的 构建医疗机构健康素养(health care organization health literacy,HCOHL)测量指标体系。方法 于2021年6-12月,通过文献分析、半结构式访谈、专题小组讨论构建HCOHL测量指标体系初稿,借助专家咨询法形成HCOHL测量指标体系终稿,并采取层次分析法确定指标权重。结果 构建了我国HCOHL测量指标体系4项一级指标、22项二级指标、48项三级指标和64项测量项目。一级指标中,“医疗机构完善健康素养促进型管理体系”“员工主导健康素养促进”“健康素养促进型物质环境建设”和“外部合作”的权重分别为0.380 9、0.380 9、0.159 2和0.079 0。结论 该研究构建的HCOHL测量指标体系具有科学性和可行性,可为评价医疗机构健康素养促进情况提供工具参考,为践行《健康中国行动(2019-2030年)》提供借鉴。

Objective To form the Health Care Organization Health Literacy(HCOHL)measurement indicator system.Methods This study was conducted from June,2021 to December,2021.The first draft of the HCOHL measurement indicator system was constructed through literature analysis,semi-structured interviews and focus group discussions.The final draft of the HCOHL measurement indicator system was developed through expert consultation and the indicator weights were determined through hierarchical analysis.Results The HCOHL measurement indicator system contained four primary indicators,twenty-two secondary indicators,forty-eight tertiary indicators and sixty-four measurement items.Four primary indicators and their weights were:"Health care organization can improve health literacy promotion-based management systems"(0.380 9),"Staff-led health literacy promotion"(0.380 9),"Health literacy promoting physical environment construction"(0.159 2)and "External collaboration"(0.079 0).Conclusion The HCOHL measurement indicator system constructed in this study is scientific and feasible,and can provide a reference tool for evaluating health literacy promotion in healthcare organizations and the implementation of Healthy China Initiative(2019-2030).