Abstract
Introduction: Hospitals are the best ground for providing health promotion and prevention services besides health care services. This study aimed to determine the impact of establishing standards of health promoting hospitals on hospitals' indicators in one of the public hospitals of Iran. Materials and methods: This research was a case-control study that included Fatemieh (case group) and Khatam-Al-Anbia (control group) hospitals. The standards of health promoting hospitals were established as independent variables in the case hospital. The collected data were related to the indicators of neonatal mortality, cardiopulmonary resuscitation (CPR), patient satisfaction and patient education in both hospitals in the second half of 1391(20122013) and the first half of 1392(2013). Then, SPSS version 16 was used to analyze the data through Chi-Square and t tests and the results were displayed as comparing tables. Results: With regard to establishing standards of health promoting hospitals in the case hospital the total score of these standards was 72.26±4.1. The results indicated that establishing health promoting standards did not affect the neonatal mortality rate while it significantly affected success of cardiopulmonary resuscitation, patient satisfaction and the mean scores of patient education (P=0.001). Conclusion: Preliminary results after establishing standards of health promoting hospitals represented positive effects in the case hospital and these standards led to improvement of some indicators.
Highlights
Hospitals are the best ground for providing health promotion and prevention services besides health care services
WHO codified the health promotion standards in five fundamental aspects: Management Policy, Patient Assessment, Patient Information and Intervention, Promoting a Healthy Work place and Continuity and Cooperation(6), that focus on four areas including health promotion of patients, health promotion of staff and change the organization to a place devoted to health and health promotion of society (1).Standards of health promoting hospitals focus on hospital systems and the processes to create a healthy organization (7) in which all strategies work together and in accordance with each other in order to be effective (8)
The results showed no significant relation between neonatal mortality and establishing Health Promoting Hospitals (HPH) standards (P=0.07)
Summary
Hospitals are the best ground for providing health promotion and prevention services besides health care services. Novel ideas are required to eliminate this situation to maximize the use of available facilities in supplying and improving the health of the society leading to desired and continuous results (2) This aim can be achieved by establishing health promoting hospitals. Results of the same published studies are not available in Iran, Didarloo et al, based on their study, indicated that health promoting hospitals deal with supplying physical, mental and social needs of the people as well as overall needs of the hospital staff in confronting physical and mental stresses They try to internalize the health promotion and prevention concept among the staff, empower patients in hospital and interact appropriately with the society (1). Due to the importance of health promotion activities in hospitals, and regarding the novelty of the subject and lack of similar researches in Iran, this study aimed to determine the effect of establishing standards of health promotion hospitals on hospital indicators in Iran
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