Performance Evaluation of Teaching Hospitals Affiliated with Kerman University of Medical Sciences Based on Health-Promoting Hospital Standards

Document Type : Original Article

Authors

1 Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences, Kerman University of Medical Sciences, Kerman, Iran

2 Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran

3 Office of Organization Development and Administrative Transformation, Vice President of Management and Resources Development, Kerman University of Medical Sciences, Kerman, Iran

10.34172/jhad.1164

Abstract

Background: The primary objective of Health-Promoting Hospitals (HPHs) is to safeguard and enhance the health of staff, patients, caregivers, and the wider community residing near the hospital. This study aimed to evaluate the performance of teaching hospitals affiliated with Kerman University of Medical Sciences based on HPH standards.
Methods: This descriptive-analytical cross-sectional study was conducted in the teaching hospitals of Kerman, Iran, specifically Shahid Bahonar Hospital, Afzalipour Hospital, and Shafa Hospital. Data were collected using the World Health Organization (WHO) questionnaire on HPH standards. The key dimensions in the questionnaire included management policy (9 items), patient assessment (7 items), patient information and intervention (6 items), promoting a healthy workplace (10 items), and continuity and cooperation (8 items). The questionnaires were completed by a comprehensive team at each hospital. This team comprised hospital management, quality improvement experts, educational supervisors, infection control supervisors, clinical ethics supervisors, clinical supervisors, head nurses from various wards, nutritionists, patient and family education unit experts, and environmental health experts.
Results: The mean scores for hospital performance standards were as follows: management policy (11.64 ± 3.77), patient assessment (11.15 ± 3.02), patient information and intervention (10.54 ± 3.37), promoting a healthy workplace (14.21 ± 4.73), and continuity and cooperation (11.13 ± 3.96). Data analysis revealed a significant difference in the mean scores among the three hospitals for patient assessment (P = 0.048) and promoting a healthy workplace (P = 0.036).
Conclusion: Based on the findings, successful implementation of Health-Promoting Hospital principles necessitates consideration of all dimensions. Thus, to enhance the quality of healthcare services, encouraging policymakers and health service managers to formulate coherent policies in line with Health-Promoting Hospital protocols will lead to improved hospital performance.

Keywords


  1. Ipsen C, Ravesloot C, Arnold N, Seekins T. Working well with a disability: health promotion as a means to employment. Rehabil Psychol. 2012;57(3):187-95. doi: 1037/a0028844.
  2. Brandt E, Schmidt W, Dziewas R, Groene O. Implementing the health promoting hospitals strategy through a combined application of the EFQM excellence model and the balanced scorecard. In: Groene O, Garcia-Barbero M, eds. Health Promotion in Hospitals: Evidence and Quality Management. Copenhagen: WHO Regional Office for Europe; 2005.
  3. Groene O. Implementing Health Promotion in Hospitals: Manual and Self-Assessment Forms. Copenhagen: WHO Regional Office for Europe; 2006.
  4. Groene O, Garcia-Barbero M. Health Promotion in Hospitals: Evidence and Quality Management. Copenhagen: WHO Regional Office for Europe; 2005.
  5. WHO Regional Office for Europe. The International Network of Health Promoting Hospitals and Health Services: Integrating Health Promotion into Hospitals and Health Services: Concept, Framework and Organization. 2010.
  6. Didarloo A, Shojaeizadeh D, Ahmadi D. Health promotion in hospitals, the challenges facing the health care system. Health Work J. 2008;2(5):19-27. [Persian].
  7. Põlluste K, Alop J, Groene O, Härm T, Merisalu E, Suurorg L. Health-promoting hospitals in Estonia: what are they doing differently? Health Promot Int. 2007;22(4):327-36. doi: 1093/heapro/dam032.
  8. Tønnesen H, Christensen ME, Groene O, O’Riordan A, Simonelli F, Suurorg L, et al. An evaluation of a model for the systematic documentation of hospital-based health promotion activities: results from a multicentre study. BMC Health Serv Res. 2007;7:145. doi: 1186/1472-6963-7-145.
  9. Delobelle P, Onya H, Langa C, Mashamba J, Depoorter AM. Advances in health promotion in Africa: promoting health through hospitals. Glob Health Promot. 2010;17(2_Suppl):33-6. doi: 1177/1757975910363929.
  10. Oppedal K, Nesvåg S, Pedersen B, Skjøtskift S, Aarstad AK, Ullaland S, et al. Health and the need for health promotion in hospital patients. Eur J Public Health. 2011;21(6):744-9. doi: 1093/eurpub/ckq148.
  11. Potvin L, Jones CM. Twenty-five years after the Ottawa Charter: the critical role of health promotion for public health. Can J Public Health. 2011;102(4):244-8. doi: 1007/bf03404041.
  12. McHugh C, Robinson A, Chesters J. Health promoting health services: a review of the evidence. Health Promot Int. 2010;25(2):230-7. doi: 1093/heapro/daq010.
  13. Lee CB, Chen MS, Chu CM. The health promoting hospital movement in Taiwan: recent development and gaps in workplace. Int J Public Health. 2013;58(2):313-7. doi: 1007/s00038-012-0391-8.
  14. World Health Organization (WHO). Ottawa Charter for Health Promotion. Geneva: WHO; 1986.
  15. World Health Organization (WHO). The Budapest Declaration on Health Promoting Hospitals. Copenhagen: WHO; 1991.
  16. Nikpajouh A, Shahrbaf MA, Doayie M, Mohseny M, Ebadi A, Alizadeh M, et al. Health promoting hospitals in Iran: Persian translation, cultural adaptation, content and face validation of selfassessment form of the standards of health promoting hospitals affiliated to the World Health Organization. Med J Islam Repub Iran. 2018;32:120. doi: 14196/mjiri.32.120.
  17. Mansouri Z, Vahdat S, Masoudi AI, Hessam S, Mahfoozpour S. Evaluation components of health promoting hospitals: An integrated review study. 2020;15(2):9-23. [Persian].
  18. Röthlin F, Schmied H, Dietscher C. Organizational capacities for health promotion implementation: results from an international hospital study. Health Promot Int. 2015;30(2):369-79. doi: 1093/heapro/dat048.
  19. Afshari A, Mostafavi F, Keshvari M, Ahmadi-Ghahnaviye L, Piruzi M, Moazam E, et al. Health promoting hospitals: a study on educational hospitals of Isfahan, Iran. Health Promot Perspect. 2016;6(1):23-30. doi: 15171/hpp.2016.04.
  20. Afshari A. Identification of Factors and Process Affecting the Adoption of Health Promotion in Hospitals Affiliated to Isfahan University of Medical Sciences: A Mixed Method Approach Based on Diffusion of Innovation, and Social Cognitive Theories [thesis]. Isfahan University of Medical Sciences; 2016. p. 263. [Persian].
  21. Parsay S, Abachizadeh K, Heydarnia M, Rasoli M, Jafari H, Mohseni M. Designing a Template for clinical prevention services at Taleghani hospital in Tehran: applied-qualitative study. Association of Iranian Hospitals Journal. 2011;10(1):10-6. [Persian].
  22. Heydarnia M, Abachizadeh K, Damari B, Azargashb E, Vosoughmoghaddam A. Study of expert opinion on health promotive services for patients at hospitals affiliated to Shahid Beheshti University of Medical Science. Pajoohandeh Journal. 2009;14(4):183-90. [Persian].
  23. Mosadeghrad A. The Handbook of Hospital Professional Organization and Management (2). Tehran: Dibagaran Tehran; 2004. [Persian].
  24. Lee CB, Chen MS, Chien SH, Pelikan JM, Wang YW, Chu CM. Strengthening health promotion in hospitals with capacity building: a Taiwanese case study. Health Promot Int. 2015;30(3):625-36. doi: 1093/heapro/dat089.
  25. Yaghoubi M, Javadi M, Bahadori MK. Designing a model of a hospital committed to health promotion: A case study of Isfahan University of Medical Sciences. Health Information Management. 2014; 10(7): 1014-1022. [Persian]
  26. 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(2):221-9. doi: 1093/heapro/daq013.
  27. Hamidi Y, Hazavehei SM, Karimi-Shahanjarini A, Seif-Rabiei MA, Farhadian M, Alimohamadi S, et al. Investigation of health promotion status in specialized hospitals associated with Hamadan University of Medical Sciences: health-promoting hospitals. Hosp Pract (1995). 2017;45(5):215-21. doi: 1080/21548331.2017.1400368.
  28. Maleki MR, Delgoshaie B, Nasiripour AA, Yaghoubi M. A comparative study on the European pilot hospitals in the health promoting hospitals project. Health Inf Manag. 2012;9(2):245-54.
  29. Yousefi S, Vafaeenajar A, Esmaily H, Hooshmand E. Evaluation of general educational hospitals affiliated to Mashhad University of Medical Sciences based on the standards of health-promoting hospitals. Iran J Health Educ Health Promot. 2018;5(4):320-7. doi: 30699/acadpub.ijhehp.5.4.320.
  30. Carlfjord S, Kristenson M, Lindberg M. Experiences of working with the tobacco issue in the context of health promoting hospitals and health services: a qualitative study. Int J Environ Res Public Health. 2011;8(2):498-513. doi: 3390/ijerph8020498.
  31. Lin YW, Huang HL, Tung SC. The organisational diagnosis of a Health Promoting Hospital in Taiwan. Patient Educ Couns. 2009;76(2):248-53. doi: 1016/j.pec.2008.12.025.
  32. Naderi S, Amiri M, Riahi L. Effect of health promoting hospitals’ standards on hospital performance a case study in Fatemieh hospital in Shahrod. Journal of Hospital. 2015;14(2):101-9. [Persian].
  33. Charoghchian Khorasani E, Moghzi M, Badiee S, Peyman N. Investigation of health promotion status in one of the specialized hospitals affiliated to Mashhad University of Medical Sciences based on the indicators of health-promoting hospitals of the World Health Organization. Navid No. 2020;23(75):72-82. doi: 22038/nnj.2020.49974.1222. [Persian].
  34. Ahangari M, Hajikhani S, Hesam S, Arvin R, Ghaziasgar M. Factors affecting the implementation of health promoting hospitals of Tehran University of Medical Sciences. J North Khorasan Univ Med Sci. 2018;10(1):21-9. doi: 52547/nkums.10.1.21. [Persian].