Strategies for Changing the Approach of Health Promoting Hospitals Based on the Importance-Performance Model: A Case Study in Yazd Hospitals in 2022

Roohollah  Askari; Zahra  Afkhami Ardakani; Motahareh Sadat  Pourrazavi; Zeinab  Alizadeh

doi:10.18502/jebhpme.v7i4.15481

Roohollah Askari Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Zahra Afkhami Ardakani Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Motahareh Sadat Pourrazavi Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Zeinab Alizadeh Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/jebhpme.v7i4.15481

Keywords: Health Promotion, Hospital, Standard, Importance-Performance Matrix

Abstract

Background: Considering the key role of hospitals in improving the level of health, staff and community, implementing standards and promoting activities in hospitals is necessary to realize this important goal. Therefore, the study purpose to examine the strategies for changing the approach of health hospitals based on the importance-performance model.

Methods: The present descriptive and cross-sectional study was conducted in 2022 in selected hospitals of Yazd province, Iran. 56 hospital managers and officials were selected by census method. Data was collected using the World Health Organization (WHO) questionnaire regarding HPH (health promoting hospital) standards which contains 69 questions. The data was analysed using SPSS₂₆, and mean score and standard deviation of importance and performance of HPH standards were calculated. The status of HPH standards in the studied hospitals was investigated using the importance-performance analysis matrix.

Results: The results showed that HPH standards had a moderate importance from the point of view of the studied people (3.89±0.76) and in the examination of the performance of the studied hospitals regarding HPH standards, the researchers implemented the standards in a moderate level (3.28±0.51). All the standards were identified as the points for keeping up the good work points based on importance-performance analysis matrix in the studied hospitals.

Conclusion: In order to fully achieve the standards and improve the condition of hospitals, changing the views of hospital managers and health service policy-makers towards the HPH plan, creating specific and consistent policies and guidelines in the field of training and interventions provided to patients and employees is necessary and effective.