论文发表
由复旦大学发展研究院王帆研究员（通讯作者），复旦大学公共卫生学院直博生王祎宁（共同第一作者）等合作完成的论文“Factors Associated With Digital Capacity for Health Promotion Among Primary Care Workers: Cross-Sectional Survey Study”发表于JCR Q1期刊《Journal of Medial Internet Research》（Impact Factor：5.8）。该期刊是全球领先的医疗服务和数字健康杂志，专注于新兴技术、医疗设备、应用程序、工程、远程医疗和信息学应用，用于患者教育、预防、人口健康和临床护理。
近年来健康科普的价值逐渐显现，特别是数字化健康科普受到多方的关注与推动，其中基层医务人员发挥着重要作用。本研究旨在研究我国基层医务人员数字健康科普能力的现状，及其影响因素。研究结果显示我国基层医务人员数字健康科普能力仅为中等，基本人口学特征、数字媒体使用特征、数字科普感知有用性、感知易用性、参与意愿、参与行为均为显著的影响因素。研究结论提示未来需将政策层面的干预、社区层面的投入和个人层面的努力结合起来，构建多方参与的针对性能力提升策略，进而发挥更大效用。
作者
Yining Wang*
School of Public Health, Fudan University
Hui Ren*; Shaotan Xiao*
Shanghai Pudong New Area Center for Disease Control and Prevention
Tian Meng
School of Accounting, Shanghai University of International Business and Economics
Shuyue Sun
School of Public Health, Fudan University
Siyu Yu; Qing Liu
Shanghai Pudong New Area Center for Disease Control and Prevention
Fan Wang
（Corresponding author）
Fudan Development Institute, Fudan University
* These authors contributed equally
摘要
Background:Health education and promotion are recognized as effective strategies for fostering healthy ageing, reducing the disease burden, and addressing health inequalities, particularly when delivered through digital media. Primary care workers are often regarded as the key providers of these interventions. Despite the strong practical significance and substantial individual demand, the use of digital media for delivering health promotion practices was not widespread in China. One of the main challenges identified is the providers’ inadequate capacities. However, little is known about the digital capacity for health promotion among primary care workers.
Objective:This study aimed to investigate the levels of digital capacity for health promotion and its associated factors among community health workers.
Methods:A total of 1346 community health workers were recruited from across 47 communities in Shanghai, China, through cluster-stratified random sampling. The digital capacity for health promotion was measured using the revised version of the Digital Capabilities Framework. Web-based questionnaires were distributed to collect data from March 20 to March 29, 2024. Data were analyzed using descriptive statistics, independent t tests, one-way ANOVA, and linear hierarchical regression using Stata MP (version 17.0; StataCorp).
Results:We included 1199 participants. Among them, 47.5% (570/1199) had high digital media use for more than 19.6 hours per week, whereas 31.8% (381/1199) demonstrated high digital media trust. The average level of digital capacity for health promotion was 16.71 (SD 2.94) out of 25 points. Demographics, digital media usage–related characteristics, perceived usefulness and usability, attitudes, and behaviors were significant predictors of the capacities, explaining 44.4% of the total variance. Master’s degree or above (β=.077; P=.013), perceived usability (β=.235; P<.001), attitudes toward digital media health promotion (β=.095; P=.002), and past digital media health promotion practices (β=.377; P<.001) had significantly positive associations with digital capacities for health promotion. However, senior (β=–.076; P=.008) or median (β=–.074; P=.012) titles had a significant negative association with capacity levels.
Conclusions:A digitally capable workforce is required for primary health care systems to take full advantage of digital media health promotion. Therefore, solutions are necessary to achieve enhanced capacities among health professionals, including public health policy making, community empowerment, and individual practices.
关键词
health promotion; digital capacity; primary care workers; Digital Capabilities Framework; online survey
全文链接
https://www.jmir.org/2024/1/e63054
来源｜ Journal of Medial Internet Research,Vol 26 (2024)
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