Abstract
Background: The current situation of health promotion (HP) services in hospitals of Iran is unclear. The aim of this study was to assess the status of HP in hospitals in Isfahan, Iran. Methods: This study is a cross-sectional survey in which 9 educational hospitals selected through census sampling. HP self-assessment was used for the data collection. The assessment teams formed, and evidence examined in line with the tools. Results: The results identified five categories of HP activities in the hospitals consisted: patients,staff, environmental, community, and organizational. The mean of total score of HP was 48.8(9.8). In terms of the HP standards scores, 5 hospitals (55.5%) were at the intermediate level;3 hospitals (33.3%) were at the weak level, and 1 hospital (11.1%) was at the good level.About the standards, the highest score was "information and patient interventions" standard 79.8 (13.5), and the lowest was "continuity and cooperation" standard 36.2 (10.8). Conclusion: It seems that some of the health promoting hospitals (HPS) duties carried out by hospitals. So, to improve the quality of health services, it seems useful to encourage policymakers and health service managers to create coherent policies and guidelines in HPS.
Highlights
Nowadays, the focus of hospitals just on treatment is criticized due to increased costs in health and chronic diseases caused by ageing population; it is not surprising that health services modification, considering health promotion (HP) services and prevention of diseases are accentuated
health promoting hospitals (HPH) is defined by World Health Organization (WHO) as follows: “A HPH does provides high quality and comprehensive medical and nursing services, and develops a corporate identity that embraces the aims of HP, develops a health promoting organizational structure and culture including active and participatory roles for patients and all staffs, develops itself into a health promoting physical environment, and in brief, cooperates actively with community.”1,4 At the beginning of the 1990s, the HPH and health services network was initiated by the WHO regional office for Europe to improve the quality of health care, increase relationship between hospitals/health services, community and environment as well as satisfaction of patients and staffs
None of the hospitals were at HPH network
Summary
The focus of hospitals just on treatment is criticized due to increased costs in health and chronic diseases caused by ageing population; it is not surprising that health services modification, considering health promotion (HP) services and prevention of diseases are accentuated. with the presentation of setting-based HP strategies in Ottawa charter for HP, World Health Organization (WHO) suggests health promoting hospitals (HPH) as an effective strategy to modify health services. HPH is defined by WHO as follows: “A HPH does provides high quality and comprehensive medical and nursing services, and develops a corporate identity that embraces the aims of HP, develops a health promoting organizational structure and culture including active and participatory roles for patients and all staffs, develops itself into a health promoting physical environment, and in brief, cooperates actively with community.” At the beginning of the 1990s, the HPH and health services network was initiated by the WHO regional office for Europe to improve the quality of health care, increase relationship between hospitals/health services, community and environment as well as satisfaction of patients and staffs. Since HP programs in hospitals are a part of the quality management programs for health services and HP standards have not been regarded in health services quality standards, WHO established a group to set new standards for HPH at the ninth International Conference on HPH - May 2001. “Management policy standard (S1): demands that a hospital has a written policy for HP. This policy must be implemented as a part of overall organization quality system and is aimed to improve health outcomes. “Patient information and intervention standard (S3): states that the organization must provide the patient. The current situation of health promotion (HP) services in hospitals of Iran is unclear. The aim of this study was to assess the status of HP in hospitals in Isfahan, Iran. The highest score was “information and patient interventions” standard 79.8 (13.5), and the lowest was “continuity and cooperation” standard 36.2 (10.8). To improve the quality of health services, it seems useful to encourage policy makers and health service managers to create coherent policies and guidelines in HPS
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