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伊朗的健康促进医院:现状、挑战及未来展望综述

Health promoting hospitals in Iran: A review of the current status, challenges, and future prospects.

作者信息

Hamidi Yadollah, Hazavehei Seyed Mohammad Mahdi, Karimi-Shahanjarini Akram, Seif Rabiei Mohamad Ali, Farhadian Maryam, Alimohamadi Shohreh, Kharghani Moghadam Seyedeh Melika

机构信息

Department of Health Management and Economics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Med J Islam Repub Iran. 2019 May 27;33:47. doi: 10.34171/mjiri.33.47. eCollection 2019.

Abstract

Health promoting hospitals (HPHs), in addition to their routine diagnosis and treatment services, concentrate on health enhancement and disease prevention. This study was conducted to systematically review studies conducted in the field of health promoting hospitals (HPH) in Iran to achieve HPH standards. Electronic search was conducted from October to February 2016 in Persian and English databases. Search was done IranMedex, SID, ISI Web of Knowledge, ScienceDirect, PubMed, and Google Scholar with the following keywords: Health promotion hospital (s), health promoting hospital (s), health promotion hospitals, HPH, and Iran. Based on inclusion and exclusion criteria and the aim of the study, 10 studies were selected to be reviewed. The results showed that HPH standards in studied hospitals were very poor in overall standard and that the standard of management policy had the lowest mean. Studies conducted in the order modeling HPH in Iran showed that factors of patient empowerment and society had the greatest impact and needs assessment had the lowest impact. The results of interventional studies were reviewed in this study and it was found that implementing standards of HPH and educational interventions increase the standard of HPH. The review of the HPH studied indicated that the most important challenge in achieving the standards of health promotion hospitals is Iran's hospital policy, which is more treatment-oriented.

摘要

健康促进医院(HPH)除提供常规诊断和治疗服务外,还专注于健康改善和疾病预防。本研究旨在系统回顾伊朗健康促进医院领域的研究,以达到HPH标准。2016年10月至2月在波斯语和英语数据库中进行了电子检索。在IranMedex、SID、ISI Web of Knowledge、ScienceDirect、PubMed和谷歌学术上进行搜索,关键词如下:健康促进医院、健康促进医院、健康促进医院、HPH和伊朗。根据纳入和排除标准以及研究目的,选择了10项研究进行综述。结果显示,所研究医院的HPH标准在总体标准方面非常差,管理政策标准的平均分最低。在伊朗对HPH进行排序建模的研究表明,患者赋权和社会因素的影响最大,需求评估的影响最小。本研究对干预性研究的结果进行了综述,发现实施HPH标准和教育干预可提高HPH标准。对所研究的HPH的综述表明,实现健康促进医院标准的最重要挑战是伊朗以治疗为导向的医院政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f35/6708121/e8780d7f74f4/mjiri-33-47-g001.jpg

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