Hearld Larry R, Hearld Kristine R, Opoku-Agyeman William
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham , Birmingham, Alabama.
Popul Health Manag. 2018 Aug;21(4):309-316. doi: 10.1089/pop.2017.0099. Epub 2017 Nov 14.
Hospitals have long played important roles in the provision of health promotion services (HPS) in local communities, defined as activities that enable people to increase control over and improve their health, including programs such as disease prevention and wellness. Nearly 2 decades ago, researchers cross-sectionally documented the provision of HPS by hospitals, but little research has been done to update this work or document how HPS have changed over time. This study assessed changes in the provision of HPS among US hospitals between 1996 and 2014. Relationships were assessed using random effects Poisson regression models. The overall number of HPS reported by hospitals was relatively modest (approximately half of all possible services, on average). The number of services increased modestly over time, although the rate of increase became less positive over time. The findings highlight a number of opportunities to improve hospital provision of HPS.
长期以来,医院在为当地社区提供健康促进服务(HPS)方面发挥着重要作用,健康促进服务被定义为使人们能够增强对自身健康的掌控并改善健康状况的活动,包括疾病预防和健康等项目。近20年前,研究人员对医院提供健康促进服务的情况进行了横断面记录,但几乎没有开展研究来更新这项工作,或记录健康促进服务随时间的变化情况。本研究评估了1996年至2014年间美国医院健康促进服务提供情况的变化。使用随机效应泊松回归模型评估了相关关系。医院报告的健康促进服务总数相对较少(平均约为所有可能服务的一半)。随着时间的推移,服务数量适度增加,尽管增长率随着时间的推移变得不那么乐观。研究结果凸显了改善医院健康促进服务提供的诸多机会。