印尼公立医院与私立医院健康促进医院的实施:有何区别?

E. Rachmawati, Sarah Handayani, Yuniar Dwi Putri, Gabriela Luftania Rivai
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摘要

医院健康促进(HPH)是医院在调整保健服务方向方面面临的一项挑战。本研究旨在评估HPH在印尼雅加达的政府和私立医院的实施情况。采用问卷调查和自评工具对223名医院职工进行横断面研究,采用比例随机抽样和双变量分析(α= 0.05)。结果显示,公立医院和私立医院员工对HPH的了解程度分别为74.8%和76.9%。然而,员工在HPH培训(20.9%和10.2%)以及HPH相关活动(45.2%和25.9%)的参与度较低。公立医院员工对HPH持良好态度的比例(77.4%)高于私立医院(51.9%),差异有统计学意义(p= 0.006)。两类医院的HPH均未达到国家标准(52.2%和52.8%),差异无统计学意义。然而,HPH标准2、3、4的执行情况存在显著差异,而标准1(“医院有健康促进条例”)的执行情况不存在显著差异。两家医院的管理层应加强员工的社会化、主动性和健康卫生培训,以提高健康卫生标准的实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of Health Promoting Hospital in Government and Private Indonesian Hospitals: Is There Any Difference?
: Health promotion in hospitals (HPH) has been a challenge for hospital regarding the reorientation of health services. This study aims to evaluate the implementation of HPH in government and private hospitals in Jakarta, Indonesia. A cross-sectional study was conducted through a survey and self-assessment tools involving 223 hospital employees, using proportional random sampling and bivariate analysis (α= 0.05). The results showed that employees in both hospitals (government and private) had good knowledge towards HPH (74.8% and 76.9%). However, the participation of the employees was poor in HPH training (20.9% and 10.2%), as well as in HPH-related activities (45.2% and 25.9%). The proportion of employee with good attitude towards HPH in the government hospital (77.4%) was higher than in the private hospital (51.9%), and was significantly different (p= 0.006). The HPH national standard for both type of hospital had not been well achieved (52.2% and 52.8%), and no significantly different. However, the implementation of standard 2, 3, and 4 of HPH showed the significantly different, but not for standard 1 (“the hospitals have health promotion regulations”). The management in both hospitals should enforce the socialization, activeness, and HPH training for employees to improve the achievement of HPH standards.
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