Pineault R, Baskerville B, Letouzé D
Department of Social and Preventive Medicine, Université de Montréal, Québec.
Can J Public Health. 1990 May-Jun;81(3):199-203.
In the early 1970s, public health units were introduced to 32 Quebec hospitals. One of the reasons for introducing public health to hospitals was the beneficial influence this new structure, called "Département de santé communautaire" (DSC), was expected to have on the development of health promotion and prevention activities in the hospital. This study compared 19 DSC hospitals with 19 non-DSC hospitals that were matched for mission, size and location. The data came from a larger survey which had been conducted by the Canadian Hospital Association in Canadian hospitals in 1985. According to our results, DSC hospitals differed from their non-DSC counterparts mainly on dimensions related to their public health mandate (e.g. community programs, advocacy). They did not differ greatly on dimensions related to other health promotion and prevention activities within the hospital (e.g. inpatient and outpatient care, employees). These results suggest that while hospitals have not created organizational obstacles to the achievement of public health activities by DSCs, DSCs did not have the expected impact on hospitals.
20世纪70年代初，魁北克省的32家医院引入了公共卫生部门。将公共卫生引入医院的原因之一是，这种名为“社区卫生部门”（DSC）的新结构有望对医院健康促进和预防活动的开展产生有益影响。本研究将19家设有DSC的医院与19家在使命、规模和地理位置方面相匹配的未设DSC的医院进行了比较。数据来自加拿大医院协会1985年在加拿大医院进行的一项规模更大的调查。根据我们的研究结果，设有DSC的医院与未设DSC的医院主要在与其公共卫生使命相关的维度上存在差异（例如社区项目、宣传）。在与医院内其他健康促进和预防活动相关的维度上（例如住院和门诊护理、员工），二者差异不大。这些结果表明，虽然医院没有为DSC开展公共卫生活动制造组织障碍，但DSC对医院并没有产生预期的影响。
