Graham J Ross, Naylor Patti-Jean
1 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.
2 School of Exercise Science, Physical and Health Education University of Victoria, Victoria, British Columbia, Canada.
Healthc Manage Forum. 2019 May;32(3):158-162. doi: 10.1177/0840470418820546. Epub 2019 Apr 4.
Sustaining large health promotion interventions in hospitals is notoriously difficult, and our understanding of sustainability enablers remains peripheral. This case study examined sustainability of Canada's largest hospital based health promotion facility: The Wellness Institute at Seven Oaks General Hospital in Winnipeg. Seven sustainability enablers were identified: (1) Community support and ownership; (2) Consistent, supportive, visionary leadership; (3) Well-managed operations; (4) Limited service overlap and duplication; (5) Alignment with the healthcare system; (6) Consistent, professional staffing; (7) Leading-edge facilities and services. Four sustainability barriers were identified: (1) Alignment with the healthcare system; (2) Limited funding; (3) Service duplication; (4) Sub-optimal location. Results can support leaders with future planning and implementation of health promotion programming.
在医院维持大规模健康促进干预措施的难度众所周知，而我们对可持续发展促进因素的理解仍然很肤浅。本案例研究考察了加拿大最大的以医院为基础的健康促进机构的可持续性：温尼伯市七橡树综合医院的健康管理中心。确定了七个可持续发展促进因素：（1）社区支持与自主权；（2）一致、支持性、有远见的领导；（3）管理良好的运营；（4）有限的服务重叠与重复；（5）与医疗系统保持一致；（6）稳定、专业的人员配备；（7）前沿的设施与服务。确定了四个可持续发展障碍：（1）与医疗系统保持一致；（2）资金有限；（3）服务重复；（4）位置欠佳。研究结果可为领导者未来规划和实施健康促进项目提供支持。
