Document Type : Original Article
Authors
Management of Healthcare Services, Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: The World Health Organization (WHO) produced the Ottawa Charter for Health
Promotion (HPH) back in 1986. Then expressed the Budapest Declaration of Health Promoting
Hospitals and after determined standards for reorienting hospitals towards health promotion So,
this study evaluated Iranian hospitals based on WHO‑HPH standard. Materials and Methods: This
study was a descriptive ‑ analytical survey in selected hospitals of Iran (38 hospitals from 5
provinces). Method of data collecting was through review of documentation related to each of
the standards. WHOs self‑assessment tool for health promotion was used. Result: Overall the
mean score of health promotion standard in the state hospital was 54.1 ± 15.1 that means the
private hospitals have higher score. In general, patient information and intervention standard
had the highest score (70. 8 ± 8. 1) both in private and government hospitals and the patient
assessment standard had the lowest score (44. 2 ± 20.1). Conclution: Hospitals must design
a specific system for improving and evaluating health promotion in order to encourage
policy‑makers and health service administrators to invest resources.
Keywords
1986.
2. WHO. Ljubljana charter on reforming health care. Copenhagen:
WHO; 1996.
3. WHO. The vienna recommendations on health promoting hospitals.
Copenhagen: WHO; 1997.
4. Whithehead D. The European health promoting hospitals (HPH)
project: How far on? Health Promot Int 2004;19:259‑66.
5. Pelikan JM, Krajic K, Dietscher C. The health promoting
hospital (HPH): Concept and development. Patient Educ Couns
2004;45:239‑43.
6. Guo XH, Tian XY, Pan YS, Yang XH, Wu SY, Wang W, et al.
Managerial attitudes on the development of Health Promoting
Hospitals in Beijing. Health Promot Int 2007;22:182‑90.
7. Aujoulat I, Le Faou AL, Sandrin‑Berthon B, Martin F, Deccache A.
Implementing health promotion in health care settings: Conceptual
coherence and policy support. Patient Educ Couns 2001;45:245‑54.
8. World Health Organization. Implementing health promotion in
hospitals: Manual and self‑assessment forms. Copenhagen: WHO
Regional Office for Europe; 2006. Available from: http://www.euro.
who.int/document/E88584.pdf. [Last accessed on 2011 Jul 10].
9. World Health Organization. Standards for Health Promotion in
Hospitals: Development indicators for a self‑assessment tool.
Report on a 4th workshop. Spain: Barcelona; 2004. Available from:
http:/www.euro. who.int/document/E84988.pdf. [Last accessed on
2011 Jul 10].
10. World Health Organization. Health Promoting Hospitals Standards
Working Group. Development of standards for disease prevention
and health promotion. Report on the WHO Meeting on standards for
disease prevention and health promotion. Copenhagen: Bratislava,
WHO Regional Office for Europe; 2002.
11. Harm T, Mä Eltsemees H. The hospitals are responsible for health
promotion. In: Proceedings of the 8th International Conference
on Health Promoting Hospitals in the 21st Century: Challenges
and Opportunities, Strategies and Scenarios for Patients, Staff,
Communities and the Hospital as an Organisation. Athens (Greece):
Abstract Book; 2000. p. 40.
12. In: Groene O, Jorgensen SJ, Garcia‑Barbero M, editors. Standards
for health promotion in hospital: Self‑assessment tool for pilot
implementation. Copen‑ Hagen, Denmark: WHO Regional Office
for Europe; 2004.
13. Harm T. Patient education in Estonia. Patient Educ Couns
2001;44:75‑8.
14. Caraher M. Patient education and health promotion: Clinical
health promotion — the conceptual link. Patient Educ Couns
1998;33:49‑58.
15. Tones K, Tilford S. Health education. Effectiveness, efficiency and
equity. London: Chapman and Hall; 1994.
16. Herbert CP. Clinical health promotion and family physicians:
A Canadian perspective. Patient Educ Couns 1995;25:277‑82.
17. Atmarow A, Brown G. Educating health educators: A survey of
hospital staff completing a certificate in health education course.
Health Manpow Manage 1998;24:209‑11.
18. Pelikan J, Krajic K, Dietscher C. The health promoting hospital:
Concept and development. Patient Educ Couns 2001;45:239‑43.
19. Groene O, Jorgensen SJ, Fugleholm AM, Miller L, Garcia‑Barbero M.
Standards for health promotion in hospitals: Development and pilot
test in nine European countries. Int J Health Care Qual Assur Inc
Leadersh Health Serv 2005;18:300‑7.
20. Groene O, Alonso J, Klazinga N. Development and validation of
the WHO self‑assessment tool for health promotion in hospitals:
Results of a study in 38 hospitals in eight countries. Health Promot
Int 2010;25:221‑9.
21. Swan Hill District Hospital. Health promotiom program. [PowerPoint
slides]. Available from: http://www.health.vic.gov.au/
healthpromotion/.../swan_hill_health.ppt. [Last cited in 2005].
22. Johnson A, Baum F. Health promoting hospi‑ tals: A typology of
different organizational approaches to health promotion. Health
Promot Int 2001;16:281‑7.
23. Taiwan E. Creating new values in healthcare: Health promoting
hospitals. Int J Health Care Qual Assur 2008;21:533.
24. Richardson J. Creating hospital environments that promote health.
J Manag Med 1986;1:68‑77.
25. Rondeau K. Health promoting attitudes and behaviors of emergency
physicians: Exploring gender differences. J Health Organ Manag
2006;20:269‑84.
26. McElligott D, Siemers S, Thomas L, Kohn N. Health promotion in
nurses: Is there a healthy nurse in the house? Appl Nurs Res 2009;
22:211‑5.
27. McHugh C, Robinson A, Chesters J. Health promoting health
services: A review of the evidence. Health Promot Int 2010;25:230‑7.
28. Yarmohammadian MH, Raeisi AR, Tavakoli N, Nansa LG. Medical
record information disclosure laws and policies among selected
countries; a comparative study. J Res Med Sci 2010;15:140‑9.