A multicenter cross-sectional survey on the status and influencing factors of health communication competence among primary healthcare workers

作者：Xian Zhao, Jialin Zhao, Zhixia Shi, Tingting Li, Lili Zhao, R. Li, Ling Li · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1713479 · 被引用次数：1 · 研究领域：Patient-Provider Communication in Healthcare、Nursing education and management、Communication in Education and Healthcare

Objective To evaluate the current status and influencing factors of health communication competence among primary healthcare workers, providing evidence for improving the quality of primary health promotion services. Methods A cross-sectional survey was conducted in August 2025 among 5,449 primary healthcare workers in Zibo City, Shandong Province, using multi-stage stratified random sampling. A self-designed questionnaire assessed four dimensions: health literacy mastery, knowledge acquisition ability, communication practice behavior, and policy cognition level. Statistical analyses included t -tests, ANOVA, multiple linear regression, and structural equation modeling (SEM). Results The overall competence score was 69.45 ± 16.23, indicating a moderate level. Scores for health literacy mastery were highest, while communication practice behavior was lowest, showing a knowledge–practice gap. Education level, professional title, self-rated health status, and institution type were positive predictors, whereas occupational stress negatively affected competence ( P < 0.001). The final regression model explained 42.1% of variance ( R 2 = 0.421). SEM confirmed the direct and indirect effects of these factors, with good model fit ( χ 2 /df = 2.34, RMSEA = 0.045, CFI = 0.96, TLI = 0.95). Conclusion Health communication competence among primary healthcare workers remains moderate and unevenly distributed. Targeted interventions focusing on education, professional development, hea...