目的 了解天津市医务人员健康科普认知现状及影响其参与健康科普工作的原因,探讨激励他们参与的措施。方法 采用简单随机抽样方法选取天津市65家机构的617名医务人员作为调查对象,自行设计医务人员健康科普认知调查问卷,通过问卷星平台完成问卷内容录入和收回。整理分析调查结果,对不同医务人员健康科普意愿的比较采用χ²检验。结果 93.7% (578/617) 的医务人员认为健康科普重要,其中有90.7% (524/578) 的医务人员表示愿意投入到该项工作中,高于认为健康科普重要性一般的医务人员中愿意投入该项工作的比例[73.7%(28/38)],差异具有统计学意义 (χ²=11.02,P<0.001)。有89.6% (553/617)的医务人员表示愿意投入到健康科普这项工作中来,但其中仅31.1% (172/553) 的医务人员愿意每周投入1h以上的时间进行健康科普,不愿意投入的主要原因是工作太忙、个人科普能力不足和单位无激励措施,分别占比75.0% (48/64)、42.2% (27/64)和21.9% (14/64)。平均52.6% (325/617)的医务人员不清楚其所在单位科普相关政策、经费资助和激励政策等。结论 天津市医务人员认同健康科普工作的重要性,但健康科普参与度有待提高。建议有关部门优化组织管理,统筹安排日常业务工作与科普工作,加大科普宣传与能力培训,给予政策支撑及经费保障,从根本上提高医务人员健康科普认知及积极性。

Objective To understand the current situation of health science popularization cognition of medical staff in Tianjin and the reasons that affect their participation in health science popularization, and to explore measures to motivate them to participate. Methods A simple random sampling method was used to select 617 medical staff from 65 institutions in Tianjin as the survey objects. The medical staff science popularization cognition questionnaire was designed. The contents of the questionnaire were entered and recovered through the Wenjuanxing platform. The survey results were sorted out and analyzed, and the χ² test was used to compare the willingness to popularize health science among different medical staff. Results In this study, 93.7% (578/617) of the medical staff identified with the importance of health science popularization and 90.7% (524/578) of them have willingness to devote themselves to the work, which was higher than the proportion of medical staff who keeps a mediocre attitude to the importance of health science popularization [73.7% (28/38)], the difference was statistically significant (χ²=11.02, P<0.001). According to the survey, a total of 89.6% (553/617) of medical staff expressed their willingness to devote themselves to health science popularization. However, only 31.1% (172/553) of the medical staff are willing to spend more than one hour per week for health science popularization. The main influencing factors to the willingness were busy schedule of routine work[75.0% (48/64)], insufficient capacity of health education [42.2% (27/64)] and lack of incentive mechanisms to support science popularization[21.9% (14/64)]. An average, 52.6% (325/617) of medical staff investigated were not aware of the internal policies, funding and incentive mechanisms concerned in their units. Conclusions The recognition of the importance of health science popularization among medical staff in Tianjin is sufficient, but the participation in health science popularization needs to be improved. We suggest government sectors concerned to optimize the organization and management of popular science education by medical staff through harmonizing the time for routine work and for science popularization, increasing popular science publicity and capacity building, providing policy support and financial guarantee, so as to fundamentally improve the awareness and enthusiasm of health science popularization by medical personnel.