Department of Rural and Indigenous Health, Monash University, Australia.
Health Promot Int. 2010 Jun;25(2):230-7. doi: 10.1093/heapro/daq010. Epub 2010 Feb 23.
In the last 20 years, there have been many developments in health promoting hospitals and health services (HPH), particularly in Europe. In Australia, health promotion (HP) programs are being conducted in the hospital setting; however, developments related to the HPH concept have been slower. To identify the effects and benefits of a health service working under the HPH banner, and to assist HP practitioners in advocacy and planning for their health service to become an HPH, we conducted a literature review. Eight studies met the criteria of research on HPH or evaluation of HP programs within an HPH framework. Seven key themes were identified in these studies. Enablers and barriers to HPH development were analyzed and discussed within these themes. This review found a dearth of high-level research on HPH. In particular, there were few Australian studies. There is limited evidence, therefore, of the efficacy of HPH. Much more high-level research and dissemination of the findings are needed in order to encourage policy-makers and health service administrators to invest resources in HPH and to support the work of HP practitioners interested in developing their health service into an HPH.
在过去的 20 年中，特别是在欧洲，促进健康的医院和卫生服务（HPH）有了许多发展。在澳大利亚，医院内正在开展健康促进（HP）计划；然而，与 HPH 概念相关的发展则较为缓慢。为了确定在 HPH 旗帜下运作的卫生服务的效果和益处，并帮助 HP 从业者倡导并规划其卫生服务成为 HPH，我们进行了文献回顾。有八项研究符合 HPH 研究或 HPH 框架内的 HP 计划评估的标准。在这些研究中确定了七个关键主题。在这些主题内分析和讨论了 HPH 发展的促成因素和障碍。这项审查发现，HPH 的高级别研究很少。特别是，几乎没有澳大利亚的研究。因此，HPH 的疗效证据有限。为了鼓励政策制定者和卫生服务管理人员投入资源发展 HPH，并支持有兴趣将其卫生服务发展成为 HPH 的 HP 从业者的工作，需要进行更多的高级别研究和研究结果的传播。
