Abstract
Following a brief background of Canadian health promotion policy efforts, the Canadian health care system, and a discussion of the reasons for increased interest in the area, two health promotion and health care facility initiatives undertaken by the Canadian Hospital Association are presented. The first describes the findings of a 1986 survey of Canadian hospitals ( n = 732) in terms of the level of commitment to health promotion, the future priority of health promotion for four target groups, the types of programs and activities, and the perceived obstacles to implementing health promotion. The results suggest that although health promotion is considered an important role for hospitals, most health promotion activities in Canadian hospitals can be classified as ad hoc. The second initiative presents the summary of a focus group meeting which was established to further the organized involvement of health care facilities in health promotion. Findings are described as follows: a shared vision of health and health promotion; the role of health care facilities in health promotion; and the implementation of health promotion in health institutions. These efforts culminated in the striking of a national working group by Health and Welfare Canada to develop a document which will serve as a framework for health promotion in health care facilities.
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