College of Management, Yuan Ze University, Taoyuan, Taiwan.
Health Promot Int. 2011 Sep;26(3):362-75. doi: 10.1093/heapro/daq068. Epub 2010 Nov 17.
To assess the organizational health-promotion (HP) status and its effect on the organizational effectiveness of HP in a national cross-sectional survey of all hospitals above the local community hospital level in Taiwan's hospitals, questionnaires were sent to 474 hospitals, of which 162 (34.18%) hospitals returned them and were rendered valid. The results of the organizational HP status reveal that the standardized overall score achieved is 76.26, suggesting that there is considerable room for improvement. The results of correlation analysis partially support the proposition of this study, suggesting that the higher the organizational HP status, the better the self-evaluated overall organizational and administrative effectiveness of its HP. When hierarchical multiple regression was performed, support for ownership (private hospitals), hospital accreditation grades (academic medical centers) and overall score of the Organizational Health of Hospital Assessment Scale were significant predicators of self-evaluated overall organizational effectiveness (F = 11.097, p < 0.01, R(2) = 0.369). Moreover, drafted annually, HP policies and plans and the number of staff HP training activities were found to partially mediate the relation between the organizational HP status, hospital characteristics and self-evaluated overall organizational effectiveness. The results contribute to clarify the conception of health-promoting hospital organizations and to identify a number of dimensions of health-promoting organizations related to the organizational effectiveness of HP in hospitals, which could allow hospitals to establish a healthier organization and more effective HP programs. This study also supplies the research field with important data and insights that can be used in future research.
为了评估组织健康促进（HP）的现状及其对台湾地区所有社区医院以上级别的医院进行的全国性横断面调查中 HP 组织有效性的影响，向 474 家医院发放了问卷，其中 162 家（34.18%）医院予以回复且有效。组织 HP 现状的结果显示，标准化总得分达到 76.26，表明仍有很大的改进空间。相关性分析的结果部分支持了本研究的假设，即组织 HP 地位越高，其 HP 的自我评估整体组织和管理有效性越好。当进行层次多重回归时，所有权（私立医院）、医院认证等级（学术医疗中心）和医院组织健康评估量表的整体得分是自我评估整体组织有效性的显著预测因子（F = 11.097，p < 0.01，R² = 0.369）。此外，每年制定的 HP 政策和计划以及员工 HP 培训活动的数量被发现部分调节了组织 HP 状况、医院特征与自我评估的整体组织有效性之间的关系。研究结果有助于阐明健康促进医院组织的概念，并确定与医院 HP 组织有效性相关的多个健康促进组织维度，使医院能够建立更健康的组织和更有效的 HP 计划。本研究还为未来的研究提供了重要的数据和见解，供研究领域参考。
