Organisational Change to Health Promoting Hospitals: A Review of the Literature

Abstract

The Health Promoting Hospitals (HPH) initiative, as a setting approach, was launched by the World Health Organisation in 1988, and widespread expansion and development throughout the world ensued. This paper elaborates on and clarifies the concept of HPH and highlights the development of health-promoting settings in hospitals. This review also examines the enabling and hindering roles of organisational factors in reorienting hospitals towards health-promoting settings. This paper reaffirms the significance of organisational change in building capacity for health promotion during the development of HPH and notes that hospitals require systematic organisational support to fulfil their roles in promoting population health. Nevertheless, this review suggests that many of the identified barriers are related to insufficient organisational support. In particular, the low prioritisation of health promotion in hospital missions, shortages of resources, ineffective project management, lack of communication, poor coordination and integration and inappropriate job-person matches were six major reported barriers. Organisational capacity building for health promotion must be considered if hospitals are to adopt the HPH initiative.

Health promoting hospitals: a study on educational hospitals of Isfahan, Iran

“…This challenge has been demonstrated in other studies. 23 , 26 , 27 , 29 As Yaghoubi and Javadi 23 study, in the present study, there were lack of guidelines for cooperation and exchange information with other organizations in community. Johnson and Nolan also highlight the lack of a mechanism for hospital staff at all levels to meet and establish networks with community organizations both formally and informally.…”

“…So in line with Johansson et al study, it is necessary to improve the skills of hospital staff in evaluation of educational plan. 26 , 28 …”

Health promoting Hospitals in Iran: How it is

“…Like other studies, in the current study, the existence of planning and a specific technique and framework such as project management technique have been concluded as a dimension. Some of obstacles to the implementation of health promotion programs include inefficient project management, the lack of communication, coordination and integration, and the lack of planning, guidelines, standards and frameworks for implementing health promotion programs ( 18 , 29 , 37 , 40 ).…”

Supporting Factor Analysis in Health Promotion Hospital in Muhamadiyah Hospital, Lamongan

“…In addition, other reason of the lack of leadership enthusiastic in implementing health promotion hospitals is the lack of developing health promotion background [6] Muhamadiyah hospital have no specific human resource who comply with Peraturan Menteri Kesehatan about specific human resource [5]. WHO also stated, capacity …”