Guo X H, Tian X Y, Pan Y S, Yang X H, Wu S Y, Wang W, Lin V
Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100 069, People's Republic of China.
Health Promot Int. 2007 Sep;22(3):182-90. doi: 10.1093/heapro/dam010. Epub 2007 May 11.
In 2002, the Beijing Committee for Disease Prevention launched guidelines based on the Ottawa Charter for Health Promotion on health promoting hospitals (HPHs). HPH pilot projects were then initiated, on a voluntary basis, in 44 Beijing hospitals. Evaluations have been undertaken to assess the impacts of the pilot project. This article outlines this HPH project, its development and evaluation and reports on the attitudes and contribution of hospital management as determined by questionnaires and interviews from 281 managerial employees from 106 Beijing hospitals (93 from pilot hospitals and 188 from control). The results of the evaluation indicate that long-term health promotion planning and health promotion specialized funds have been better established in pilot hospitals than in the control group and also that the concept of HPH is better understood by managerial staff in pilot hospitals than by those in control hospitals. The main perceived barriers faced in the development of HPH are shortages of funds, personnel, time management and professional skills. To further develop HPHs in China, effort needs to be made to ensure that hospital leaders and management are considered first. If managerial staff have an appropriate understanding of the concept and principles of HPH, then it is more likely that health promotion activities can be introduced into the daily workings of hospitals, and the necessary funds, personnel and training on health promotion skills be provided.
2002年，北京市疾病预防控制中心依据《渥太华促进健康宪章》发布了关于健康促进医院（HPH）的指南。随后，44家北京医院自愿开展了HPH试点项目。已对试点项目的影响进行了评估。本文概述了该HPH项目、其发展及评估情况，并报告了通过对来自106家北京医院（93家试点医院和188家对照医院）的281名管理人员进行问卷调查和访谈所确定的医院管理层的态度和贡献。评估结果表明，试点医院在长期健康促进规划和健康促进专项资金方面比对照组建立得更好，而且试点医院的管理人员比对照医院的管理人员更能理解HPH的概念。HPH发展中主要面临的障碍是资金短缺、人员不足、时间管理和专业技能问题。为了在中国进一步发展健康促进医院，需要首先确保医院领导和管理层予以重视。如果管理人员对HPH的概念和原则有适当的理解，那么健康促进活动就更有可能被引入医院的日常工作中，并提供必要的资金、人员以及健康促进技能培训。
