Hamidi Yadollah, Hazavehei Seyed Mohammad Mahdi, Karimi-Shahanjarini Akram, SeifRabiei Mohamad Ali, Farhadian Maryam, Alimohamadi Shohreh, Kharghani Moghadam Seyedeh Melika
a Social Determinants of Health Research`s Center, Department of Health Management and Economic, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran.
b Department of public health, School of public health , Hamadan University of Medical Sciences , Hamadan , Iran.
Hosp Pract (1995). 2017 Dec;45(5):215-221. doi: 10.1080/21548331.2017.1400368. Epub 2017 Nov 13.
The prophecy of health promoting hospitals (HPH) is bringing about a change and transition from treatment-oriented to health-oriented attitudes. In Iran, hospitals usually play the traditional roles. The present study was aimed at the evaluation of the health promotion status in specialized hospitals associated with Hamadan University of Medical Sciences (HUMS).
This applied study was conducted in two Hamadan specialized hospitals in the Hamadan city. The health promotion status was evaluated using a self-assessment checklist designed by the World Health Organization's HPH. The evaluation was done in five standards including management policy, patient assessment, patient information and intervention, promotion of a healthy workplace and continuity and cooperation.
The results showed that both the hospitals studied had a poor status in terms of promoting a healthy workplace (average = 31.24%) and management policy standards (average = 35.29%) in comparison with the other relevant standards: patient assessment (53.12%), patient information and intervention (62.5%), continuity and cooperation (65.78%)). The results of the standards and sub-standards status displayed better performance in the cardiovascular hospital (53.67%) compared to the women and parturition hospital (42.64%).
The findings indicated that HPH standards are very low in the studied hospitals. The reason behind this wide gap might be due to the fact that hospitals in Iran are more treatment-oriented and patient-oriented and they do not play an active part in health promoting. It was found that management policy and promoting healthy workplace standards had the worst status and must be improved.
健康促进医院（HPH）的理念正在带来从以治疗为导向到以健康为导向态度的转变与过渡。在伊朗，医院通常扮演传统角色。本研究旨在评估与哈马丹医科大学（HUMS）相关的专科医院的健康促进状况。
本应用研究在哈马丹市的两家哈马丹专科医院进行。使用世界卫生组织健康促进医院设计的自我评估清单对健康促进状况进行评估。评估依据五个标准进行，包括管理政策、患者评估、患者信息与干预、促进健康的工作场所及连续性与合作。
结果显示，与其他相关标准相比，即患者评估（53.12%）、患者信息与干预（62.5%）、连续性与合作（65.78%），两所研究医院在促进健康的工作场所（平均 = 31.24%）和管理政策标准（平均 = 35.29%）方面状况不佳。标准及子标准状况的结果显示，心血管医院（53.67%）的表现优于妇产医院（42.64%）。
研究结果表明，所研究医院的健康促进医院标准非常低。这种巨大差距背后的原因可能是伊朗的医院更倾向于以治疗为导向和以患者为导向，在健康促进方面未发挥积极作用。研究发现管理政策和促进健康的工作场所标准状况最差，必须加以改进。
