Pezeshki Mohammad Zakaria, Alizadeh Mahasti, Nikpajouh Akbar, Ebadi Ali, Nohi Soheila, Soleimanpour Maryam
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Rajaei Cardiovascular Medical and Research Center, Tehran, Iran.
Med J Islam Repub Iran. 2019 Oct 21;33:113. doi: 10.34171/mjiri.33.113. eCollection 2019.
Considering the importance of assessing the program of health promotion hospitals (HPH) for elucidating the compliance with the standards, the present study aimed to evaluate the health promotion standards in governmental and nongovernmental hospitals of East-Azerbaijan. In the present cross-sectional study, all hospitals in East-Azerbaijan province in 2018 were recruited. The Persian validated World Health Organization (WHO) a self-assessment questionnaire was sent to the director of each hospital and invited to corporate with the study. Self-assessment questionnaire consists of 40 measurable elements that assess management policy, patient's assessment, patient information and intervention, promoting health work placed and continuity and cooperation. Independent sample ttest was conducted to compare the mean score of each standard across hospitals type, location, and size. A significance level of 0.05 was used. Hospitals total HPH score was 56.06±21.27 (out of 100). Among five standards, Standard 3 had the highest score (66.85±18.80), and Standard 4 had the lowest score (47.79±19.12). The capital cities' hospitals had a significantly higher score in Standard 5 (p=0.02). Non-governmental hospitals had a significantly higher score in standard 4 (p=0.02). There were no significant differences in all five standards of HPH between hospitals with ≤200 and >200 beds (p>0.05). The hospitals in East-Azerbaijan-Iran had moderate compliance with HPH program, and they need to improve their performance especially in the field of providing healthy workplace and offering proper education and health-promoting services to patients after discharge.
鉴于评估健康促进医院（HPH）项目对于阐明其是否符合标准的重要性，本研究旨在评估东阿塞拜疆省公立医院和非公立医院的健康促进标准。在这项横断面研究中，纳入了2018年东阿塞拜疆省的所有医院。向每家医院的院长发送了经过波斯语验证的世界卫生组织（WHO）自评问卷，并邀请其配合研究。自评问卷由40个可衡量的要素组成，用于评估管理政策、患者评估、患者信息与干预、促进健康工作的开展以及持续性与合作。采用独立样本t检验比较各标准在医院类型、位置和规模方面的平均得分。显著性水平设定为0.05。医院HPH总得分是56.06±21.27（满分100分）。在五个标准中，标准3得分最高（66.85±18.80），标准4得分最低（47.79±19.12）。省会城市的医院在标准5方面得分显著更高（p = 0.02）。非公立医院在标准4方面得分显著更高（p = 0.02）。床位≤200张和>200张的医院在HPH的所有五个标准方面均无显著差异（p>0.05）。伊朗东阿塞拜疆省的医院对HPH项目的合规程度为中等，它们需要提高自身表现，特别是在提供健康工作场所、为出院患者提供适当教育和健康促进服务方面。
