医院健康促进与疾病预防服务的普及率：好消息、坏消息及政策影响
The prevalence of hospital health promotion and disease prevention services: good news, bad news, and policy implications.
作者信息
Olden P C, Clement D G
机构信息
Graduate Health Administration Program, Panuska College of Professional Studies, University of Scranton, PA 18510, USA.
出版信息
Milbank Q. 2000;78(1):115-46, iii-iv. doi: 10.1111/1468-0009.00163.
In recent years, American health care has shifted toward an emphasis on population health in communities. National data from the American Hospital Association Annual Survey of Hospitals are used to describe the prevalence of 26 services provided by general hospitals that could contribute to health promotion and disease prevention (HPDP). Cross-sectional descriptive analyses, based on national data sources, linked HPDP services to hospital characteristics, and factor analysis identified significant categories of HPDP activities. The results showed that many specific HPDP services are offered by thousands of hospitals, but prevalence, distribution, and availability of the services are uneven across the size and ownership of hospitals and their communities. Policy initiatives could increase the prevalence of hospitals' health promotion and disease prevention services, thereby improving the health status of their communities.
近年来，美国医疗保健已转向注重社区的群体健康。美国医院协会年度医院调查的全国数据被用于描述综合医院提供的26项有助于健康促进和疾病预防（HPDP）的服务的普及情况。基于全国数据源的横断面描述性分析，将HPDP服务与医院特征联系起来，因子分析确定了HPDP活动的重要类别。结果表明，数千家医院提供了许多特定的HPDP服务，但这些服务的普及程度、分布情况和可及性在医院规模、所有制及其所在社区方面并不均衡。政策举措可以提高医院健康促进和疾病预防服务的普及程度，从而改善其所在社区的健康状况。
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