A WHO-HPH operational program versus usual routines for implementing clinical health promotion: an RCT in health promoting hospitals (HPH)

Autor: Jeff Kirk Svane, Shu-Ti Chiou, Hanne Tønnesen, Jerneja Farkas, Mirna Zagrajski Brkić, Milena Kalvachova, Tiiu Härm, Oliver Groene, Isao Fukuba, Yen Ang, Mikkel Østerheden Andersen
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Service delivery framework
Health Status
030204 cardiovascular system & hematology
Health informatics
Health Promotion/methods
Health administration
Health Risk Behaviors
0302 clinical medicine
Outcome Assessment
Health Care
Medicine
030212 general & internal medicine
lcsh:R5-920
Health Policy
Medical record
Health services research
General Medicine
Middle Aged
Hospitals/statistics & numerical data
Quality Improvement
Hospitals
Health promoting hospitals
Female
lcsh:Medicine (General)
Adult
medicine.medical_specialty
Patients
Adolescent
Strategic implementation
Lifestyle risk
Health Informatics
Health Promotion
03 medical and health sciences
Outcome Assessment (Health Care)
Young Adult
Delivery of Health Care/standards
Fast-track implementation
Humans
Clinical health promotion
Quality improvement
Health policy
Aged
Implementation Science
business.industry
Public health
Research
Public Health
Environmental and Occupational Health
Health promotion
Family medicine
Hospital staff
business
Delivery of Health Care
Zdroj: Implementation Science, Vol 13, Iss 1, Pp 1-13 (2018)
Svane, J K, Chiou, S T, Groene, O, Kalvachova, M, Brkić, M Z, Fukuba, I, Härm, T, Farkas, J, Ang, Y, Andersen, M Ø & Tønnesen, H 2018, ' A WHO-HPH operational program versus usual routines for implementing clinical health promotion : An RCT in health promoting hospitals (HPH) ', Implementation Science, vol. 13, 153 . https://doi.org/10.1186/s13012-018-0848-0
Implementation Science : IS
ISSN: 1748-5908
DOI: 10.1186/s13012-018-0848-0
Popis: Background Implementation of clinical health promotion (CHP) aiming at better health gain is slow despite its effect. CHP focuses on potentially modifiable lifestyle risks such as smoking, alcohol, diet, and physical inactivity. An operational program was created to improve implementation. It included patients, staff, and the organization, and it combined existing standards, indicators, documentation models, a performance recognition process, and a fast-track implementation model. The aim of this study was to evaluate if the operational program improved implementation of CHP in clinical hospital departments, as measured by health status of patients and staff, frequency of CHP service delivery, and standards compliance. Methods Forty-eight hospital departments were recruited via open call and stratified by country. Departments were assigned to the operational program (intervention) or usual routine (control group). Data for analyses included 36 of these departments and their 5285 patients (median 147 per department; range 29–201), 2529 staff members (70; 10–393), 1750 medical records (50; 50–50), and standards compliance assessments. Follow-up was measured after 1 year. The outcomes were health status, service delivery, and standards compliance. Results No health differences between groups were found, but the intervention group had higher identification of lifestyle risk (81% versus 60%, p
Databáze: OpenAIRE
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