Investigating the status of hospitals in Kashan, Aran and Bidgol cities in achieving health promotion standards in 2020

Abolfazl Sadeqi-Arani, Z. sadeqi-arani, R. Askari, F. Madadizadeh, M. Bahrami, Meghdad Rahati, R. Montazeralfaraj
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Abstract

Background: From the perspective of health promotion, the most critical mission of hospitals is to change the treatment-oriented mindset to a health-oriented one. Health promoting hospitals seek to institutionalize the concept of prevention and health promotion. Therefore, the current research aims to study Kashan, Aran and Bidgol hospitals in achieving health promotion standards in 2020. Methods: The current study is a descriptive correlational study that was conducted cross-sectionally in 2020. The statistical sample studied was 65 managers and officials of 4 hospitals in Kashan, Aran and Bidgol cities (1 government hospital, 3 non-government hospitals). Data were collected using the World Health Organization (WHO)'s health promotion standards questionnaire. The authors used Kruskal-Wallis and one-way ANOVA tests to compare the mean performance scores among the hospitals. Bonferroni test was used for parallel comparison of the hospitals. Data were analyzed using SPSS 22 software with a significance level of 5%. Results: Findings indicated that regarding the standards of management policy, patient assessment, patient information and intervention, promotion of a healthy workplace, continuity of treatment and cooperation, performance score of non-government hospitals (private and Social Security Organization) were significantly higher than the studied government hospital in this study (p < 0.001). The total score of health promotion standards in the non-government hospitals was significantly higher than the government hospital (p < 0.001). This difference was significant. Conclusion One of the variables influencing the quality of health promotion standards in hospitals is the type of hospital in terms of ownership (government, non-government). It seems that organizations using government funds, typically, have worked less than other organizations with regard to improving and upgrading their quality. Therefore, managers of government hospitals need to plan for developing standards of management policy, patient assessment, patient information and intervention, upgrading a healthy and standard work environment continuity of treatment and cooperation. Then, authorities need to monitor and evaluate these processes.
调查卡尚市、阿兰市和比戈尔市医院在实现2020年健康促进标准方面的状况
背景:从健康促进的角度来看,医院最关键的任务是将以治疗为导向的观念转变为以健康为导向的观念。促进健康的医院寻求将预防和促进健康的概念制度化。因此,本研究旨在研究卡尚、阿兰和比戈尔医院在2020年实现健康促进标准的情况。方法:本研究是一项描述性相关研究,于2020年进行横断面研究。统计样本为卡尚市、阿兰市和比戈尔市4家医院(1家政府医院,3家非政府医院)的65名管理人员。使用世界卫生组织(WHO)健康促进标准问卷收集数据。作者采用Kruskal-Wallis检验和单因素方差分析比较了各医院的平均绩效得分。采用Bonferroni检验进行医院间的平行比较。数据分析采用SPSS 22软件,显著性水平为5%。结果:在管理政策、患者评估、患者信息和干预、促进健康工作场所、治疗和合作的连续性等方面,非政府医院(民营和社会保障机构)的绩效得分显著高于政府医院(p < 0.001)。非政府医院的健康促进标准总分显著高于政府医院(p < 0.001)。这种差异是显著的。结论影响医院健康促进标准质量的变量之一是医院所有制类型(政府、非政府)。似乎使用政府资金的组织在改善和提升质量方面比其他组织做得少。因此,政府医院管理者需要规划制定管理政策、患者评估、患者信息和干预的标准,提升健康和规范的工作环境,持续治疗和合作。然后,当局需要监督和评估这些过程。
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