醫學生健保醫療資源素養評估工具發展與創新教學研究

Although people in Taiwan have a seemingly sound national health insurance system, the problem of wasting of medical resources cannot be ignored. Many studies have shown the usage of medical resources is not only related to people’s health literacy but influenced by health professional’s suggestions. This study is a two-year program to develop physician’s literacy on medical resources. In the first year, systematic reviews of health literacy was conducted. We also adopted focus-group interviews to realize the views and needs of medical resource literacy among physicians and patients. Delphi method was applied to construct four dimensions, namely “concept and evaluation”, “acceptance and respect”, ”communication and interaction”, and “medical information and decision-making”; and 13 sub-dimensions and 44 indicators. We developed a valid and reliable assessment tool as “questionnaire in physician’s literacy on medical resources” corresponding with the indicators. In the second year, we established ” physician’s literacy on medical resources in innovation teaching module” and developed teaching materials such as situation videos and board games. Finally, 197 medical students were recruited and divided into experimental group and control group. The former was intervened with teaching module. The result of pretest and posttest questionnaire analysis indicated that experimental group’s scores on physician’s literacy on medical resources of knowledge, attitude and skill were significantly higher than the scores of control group’s. In conclusion, this study effectively enhanced medical students literacy on medical resources and pioneered in medical education.