Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Health Management and Economics School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Health Promot Int. 2019 Aug 1;34(4):811-823. doi: 10.1093/heapro/day024.
One of the requirements for the implementation of Health Promoting Hospitals (HPHs) is comprehensive integration of health promotion (HP) activities and programs in hospital quality management system. Therefore, this systematic review was conducted utilizing a comprehensive European Foundation for Quality Managment (EFQM) model to determine appropriate criteria for the implementation and development of HPH. This systematic review considered the published literature on factors affecting the implementation and development of HPH during 1997-2016. Twenty-three articles were finalized for further investigation. EFQM was used as guidance for the investigation and analysis of studies conducted in relation to HPH. Regarding our results, real need analysis and accurate assessment of needs, attention to infrastructure factors, HPH standardization, promotion of self-care, knowledge enhancement and patient and staff skills training, improvement of quality indicators, continuous participation of HPH committee, designing HP interventions, paying attention to clinical outcome, equity in health, promoting a healthy work environment, continuity and cooperation etc. are among the factors contributing to HPH implementation and development. In case of having high capacity for successful HPH implementation, comprehensive HPH capacity building and resource development are not possible unless they are performed based on one of the framework emphasized by World Health Organization (WHO) such as EFQM.
实施促进健康医院（HPH）的要求之一是将健康促进（HP）活动和方案全面纳入医院质量管理体系。因此，本系统评价利用欧洲质量管理基金会（EFQM）的综合模型来确定实施和发展 HPH 的适当标准。本系统评价考虑了 1997 年至 2016 年期间发表的关于影响 HPH 实施和发展的因素的文献。最终确定了 23 篇文章进行进一步调查。EFQM 被用作调查和分析与 HPH 相关研究的指南。根据我们的研究结果，实际需求分析和准确评估需求、关注基础设施因素、HPH 标准化、促进自我保健、知识增强以及患者和员工技能培训、改善质量指标、HPH 委员会的持续参与、设计 HP 干预措施、关注临床结果、健康公平、促进健康的工作环境、连续性和合作等是 HPH 实施和发展的因素。在具备成功实施 HPH 的高能力的情况下，除非基于世界卫生组织（WHO）强调的框架之一（如 EFQM）进行全面的 HPH 能力建设和资源开发，否则无法实现全面的 HPH 能力建设和资源开发。
