Comparison of the results of developing standards for health promotion hospitals in public and private medical centers

Akbar Javan Biparva, Hamed Baghayi, Shahriar Peyghani Asl, Rahim Khodayari Zarnagh
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Abstract

Background: Developing standards for Health Promotion Hospitals (HPH) plays a crucial role in hospital accreditation. This study aimed to compare the development of HPH standards in public and private hospitals in Tabriz, Iran in 2021. Methods: This descriptive-analytical and cross-sectional study was conducted to evaluate all public and private hospitals in the city. Data were collected using observation and interviews through a valid and reliable HPH checklist. Data were analyzed using t test. Results: The study found that the standards for patients’ data and interventions (77.38%), continuity in treatment and cooperation (69.38%), management policy (61.92%), patient evaluation (60.76%), and providing a healthy workplace (42.7%) had the highest scores, respectively. Private hospitals scored higher than public hospitals in all dimensions. There was a significant difference between public and private hospitals regarding the total score (P=0.001), management policy(P=0.01), patient information and interventions(P=0.003), and continuity in treatment and cooperation (P=0.002). Conclusion: The competitive atmosphere among private hospitals appears to have improved their status in HPP, while public hospitals were less concerned with competition and improving their performance in this field. Additionally, ignoring human resource management policies has made the managers of all hospitals feel the need for further upgrading in terms of standards for promoting a healthy work setting.
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公立和私立医疗中心健康促进医院制定标准的结果比较
背景:健康促进医院(HPH)标准的制定在医院认证中起着至关重要的作用。本研究旨在比较2021年伊朗大不里士公立和私立医院HPH标准的发展。方法:采用描述性分析和横断面研究的方法对全市所有公立和私立医院进行评估。通过有效可靠的HPH检查表,采用观察和访谈的方式收集数据。数据分析采用t检验。结果:研究发现,患者资料和干预标准(77.38%)、治疗连续性和合作(69.38%)、管理政策(61.92%)、患者评价(60.76%)和提供健康工作场所(42.7%)得分最高。民营医院在各方面得分均高于公立医院。公立医院与民营医院在总得分(P=0.001)、管理政策(P=0.01)、患者信息与干预(P=0.003)、治疗与合作的连续性(P=0.002)方面存在显著差异。结论:民营医院竞争氛围明显改善了其在HPP领域的地位,而公立医院对HPP领域竞争和绩效提升的关注度较低。此外,由于忽视人力资源管理政策,所有医院的管理人员都感到有必要进一步提高标准,以促进健康的工作环境。
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19
审稿时长
18 weeks
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