安徽省公立医院医务人员传播健康科普知识频率及影响因素分析

Analysis of Frequency and Influencing Factors of Health Communication by Medic al Staff in Public Hospitals of Anhui Province

目的:了解安徽省公立医院医务人员传播健康科普知识的现状和存在的阻碍因素,并提出相应改进对策,为促进健康科普工作提供参考。方法:采取自编问卷,抽取部分安徽省公立医院医务人员进行调查,对资料进行描述性分析和卡方检验。结果:1167份有效问卷中,从不、偶尔、经常、总是传播健康科普知识的医务人员分别为5人(0.43%)、325人(27.85%)、673人(57.67%)、164人(14.05%);传播健康科普知识不存在阻碍因素的医务人员436人(37.36%),存在阻碍因素的医务人员731人(62.64%)。结论:医务人员对健康科普的认同度高、参与意愿强,但行动力尚有欠缺;时间精力不足、缺乏统一的官方渠道、缺乏相应的能力、激励不足、得不到社会的认同或老百姓的认可、没有工作氛围是医务人员传播健康科普知识的主要障碍;建议多举措帮助医务人员克服时间不足困难、搭建全省统一的健康科普知识传播平台、开展健康科普工作培训交流、建立长效激励机制、引导正面的社会舆论、营造医院内健康科普的浓厚氛围。

Objective:To propose corresponding improvement measures and provide evidence to promote health communication by investigating the current situation and obstacles faced by medical staff in public hospitals of Anhui Province in disseminating health science knowledge.Methods:A self-designed questionnaire was used to survey some medical staff in public hospitals of Anhui Province,and the data were subjected to Descriptive analysis and Chi-square tests.Results:Among the 1167 valid questionnaires,the numbers of medical staff who never,occasionally,often,or always disseminate health science knowledge were 5(0.43%),325(27.85%),673(57.67%),and 164(14.05%)respectively;436 medical staff(37.36%)reported no obstacles in disseminating health science knowledge,while 731(62.64%)encountered obstacles.Conclusion:Medical staff have a high degree of recognition and willingness to participate in health communication,but there is a lack of action.The main barriers affecting the health communication are:insufficient time and energy,lack of unified official channels,lack of relevant skills,insufficient motivation,lack of social recognition or public approval,and lack of a conducive work atmosphere.The improvement measures suggested include:strengthening social and internal hospital publicity,establishing a provincial unified dissemination platform,conducting training,paying work remuneration,employing full-time staff,integrating into hospital performance management,and providing corresponding policy support.