Investigating the status of hospitals in Kashan, Aran and Bidgol cities in achieving health promotion standards in 2020

Abolfazl  Sadeqi-Arani; Zahra  Sadeqi-Arani; Roohollah  Askari; Farzan  Madadizadeh; Mohammad Amin  Bahrami; Meghdad  Rahati; Razieh Montazeralfaraj

doi:10.18502/mshsj.v7i3.11397

Abolfazl Sadeqi-Arani MSc student in Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Zahra Sadeqi-Arani Assistant Professor, Department of Management and Entrepreneurship, School of Financial Science, Management and Entrepreneurship, Kashan University, Kashan, Iran
Roohollah Askari Associate Professor, Health Policy & Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Farzan Madadizadeh Assistant Professor, Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Amin Bahrami Associate Professor, Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Meghdad Rahati Ph.D. in Healthcare Management, Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
Razieh Montazeralfaraj Associate Professor, Health Policy & 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/mshsj.v7i3.11397

Keywords: Health promotion, Standard, Hospital

Abstract

Background: From the perspective of health promotion, the most critical mission of hospitals is to change the treatment-oriented mindset to a health-oriented one. Health promoting hospitals seek to institutionalize the concept of prevention and health promotion. Therefore, the current research aims to study Kashan, Aran and Bidgol hospitals in achieving health promotion standards in 2020.

Methods: The current study is a descriptive correlational study that was conducted cross-sectionally in 2020. The statistical sample studied was 65 managers and officials of 4 hospitals in Kashan, Aran and Bidgol cities (1 government hospital, 3 non-government hospitals). Data were collected using the World Health Organization (WHO)'s health promotion standards questionnaire. The authors used Kruskal-Wallis and one-way ANOVA tests to compare the mean performance scores among the hospitals. Bonferroni test was used for parallel comparison of the hospitals. Data were analyzed using SPSS 22 software with a significance level of 5%.

Results: Findings indicated that regarding the standards of management policy, patient assessment, patient information and intervention, promotion of a healthy workplace, continuity of treatment and cooperation, performance score of non-government hospitals (private and Social Security Organization) were significantly higher than the studied government hospital in this study (p < 0.001). The total score of health promotion standards in the non-government hospitals was significantly higher than the government hospital (p < 0.001). This difference was significant.

Conclusion One of the variables influencing the quality of health promotion standards in hospitals is the type of hospital in terms of ownership (government, non-government). It seems that organizations using government funds, typically, have worked less than other organizations with regard to improving and upgrading their quality. Therefore, managers of government hospitals need to plan for developing standards of management policy, patient assessment, patient information and intervention, upgrading a healthy and standard work environment continuity of treatment and cooperation. Then, authorities need to monitor and evaluate these processes.