Carino Stefanie, Misale Georgia, Egan Meredith, Collins Jorja
Dietetics Department, Eastern Health, Box Hill, Victoria, Australia.
Department of Nutrition, Monash University, Notting Hill, Victoria, Australia.
Nutr Diet. 2023 Apr;80(2):154-162. doi: 10.1111/1747-0080.12802. Epub 2023 Mar 14.
To identify the origin of fresh and minimally processed foods served to hospital patients, and explore the challenges and enablers to local food procurement in hospitals.
A mixed methods study was conducted in a healthcare network in Victoria, Australia. Packaging labels and product information were used to audit fresh and minimally processed foods purchased in 1 week. Processed food items and meals made offsite were not audited. Interviews were conducted with patients, staff and suppliers to explore their perspectives towards local food in hospitals. Framework analysis was used to identify themes.
Of 105 food products audited, 32% were imported, 25% were 'local' from Victoria and the remaining 43% were from within Australia (excluding Victoria). Qualitative interviews revealed several challenges including: increased cost of local food items, inconsistent supply and variable quality of local produce, difficulty accessing origin information, and lack of autonomy for hospitals to make food procurement choices. Enablers included: conducting a food origin audit to increase awareness, group purchasing organisation prioritising local food suppliers, and suppliers valuing local produce.
A food origin audit and interviews with stakeholders provided a rich understanding of current practices and how to increase local food procurement.
确定提供给住院患者的新鲜和最低限度加工食品的来源，并探讨医院本地食品采购面临的挑战和推动因素。
在澳大利亚维多利亚州的一个医疗网络中开展了一项混合方法研究。利用包装标签和产品信息对一周内购买的新鲜和最低限度加工食品进行审计。未对加工食品和场外制作的膳食进行审计。对患者、工作人员和供应商进行了访谈，以探讨他们对医院本地食品的看法。采用框架分析法确定主题。
在接受审计的105种食品中，32%是进口的，25%是来自维多利亚州的“本地”食品，其余43%来自澳大利亚境内（不包括维多利亚州）。定性访谈揭示了几个挑战，包括：本地食品成本增加、本地农产品供应不一致和质量参差不齐、获取产地信息困难，以及医院在食品采购选择上缺乏自主权。推动因素包括：开展食品产地审计以提高认识、团购组织优先考虑本地食品供应商，以及供应商重视本地农产品。
食品产地审计和与利益相关者的访谈有助于深入了解当前做法以及如何增加本地食品采购。
