Abstract：
OBJECTIVE: To investigate community health centers\' (CHCs) health literacy.
METHODS: A cross-sectional study.
METHODS: A total of 374 CHCs were surveyed and 258 CHCs responded, with an effective questionnaire response rate of 69.0%.
METHODS: Data were collected by using a self-developed health literacy assessment tool to survey CHCs\' health literacy throughout Taiwan from January to December 2019.
RESULTS: The item of organizational health literacy (OHL) with the highest proportion of CHCs not implementing them was \"Design of easy-to-use computer applications and new media\" (47.3% not yet achieved), followed by \"Involving target audiences in document and service development\" (34.9% not yet achieved). CHCs located in northern Taiwan had higher health literacy achievement scores than those in other regions, and those in urban areas had higher health literacy achievement scores than those in general and remote areas.
CONCLUSIONS: This study identified items with poor implementation of OHL and found regional differences in health literacy among CHCs. The findings can inform the development of targeted interventions to improve health literacy in underperforming CHCs and guide policymakers in allocating resources to regions and areas in need of.
METHODS: A cross-sectional study.
METHODS: A total of 374 CHCs were surveyed and 258 CHCs responded, with an effective questionnaire response rate of 69.0%.
METHODS: Data were collected by using a self-developed health literacy assessment tool to survey CHCs\' health literacy throughout Taiwan from January to December 2019.
RESULTS: The item of organizational health literacy (OHL) with the highest proportion of CHCs not implementing them was \"Design of easy-to-use computer applications and new media\" (47.3% not yet achieved), followed by \"Involving target audiences in document and service development\" (34.9% not yet achieved). CHCs located in northern Taiwan had higher health literacy achievement scores than those in other regions, and those in urban areas had higher health literacy achievement scores than those in general and remote areas.
CONCLUSIONS: This study identified items with poor implementation of OHL and found regional differences in health literacy among CHCs. The findings can inform the development of targeted interventions to improve health literacy in underperforming CHCs and guide policymakers in allocating resources to regions and areas in need of.
摘要：
目的：调查社区卫生服务中心（CHCs）的健康素养。
方法：横断面研究。
方法：共调查了374个CHC，258个CHC做出了回应，有效问卷回复率为69.0%。
方法：数据是通过使用自行开发的健康素养评估工具收集的，调查了2019年1月至12月全台湾CHCs的健康素养。
结果：组织健康素养（OHL）项目中CHC未实施的比例最高的项目是“易于使用的计算机应用程序和新媒体的设计”（47.3％尚未实现），其次是“让目标受众参与文档和服务开发”(34.9%尚未实现)。位于台湾北部的CHC的健康素养成绩高于其他地区，城市地区的健康素养成绩高于一般地区和偏远地区。
结论：这项研究确定了OHL实施效果不佳的项目，并发现了CHCs之间健康素养的区域差异。这些发现可以为制定有针对性的干预措施提供信息，以提高表现不佳的CHC的健康素养，并指导决策者向有需要的地区和地区分配资源。
方法：横断面研究。
方法：共调查了374个CHC，258个CHC做出了回应，有效问卷回复率为69.0%。
方法：数据是通过使用自行开发的健康素养评估工具收集的，调查了2019年1月至12月全台湾CHCs的健康素养。
结果：组织健康素养（OHL）项目中CHC未实施的比例最高的项目是“易于使用的计算机应用程序和新媒体的设计”（47.3％尚未实现），其次是“让目标受众参与文档和服务开发”(34.9%尚未实现)。位于台湾北部的CHC的健康素养成绩高于其他地区，城市地区的健康素养成绩高于一般地区和偏远地区。
结论：这项研究确定了OHL实施效果不佳的项目，并发现了CHCs之间健康素养的区域差异。这些发现可以为制定有针对性的干预措施提供信息，以提高表现不佳的CHC的健康素养，并指导决策者向有需要的地区和地区分配资源。
