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|Authors: ||羅元婷;Yuan-Ting Lo;羅慶徽;Ching-Hui Loh;林金定;Jin-Ding Lin;徐尚為(Shang-Wei Hsu) ； 呂學琳;Hsueh-Lin Lu;嚴嘉楓;Chia-Feng Yen;朱明若;Corida M. Chu;林雅雯;Ya-Wen Lin;賴朝英;Chia-Im Lai;陳宏一;Hong-I Chen|
|Keywords: ||健康促進醫院;健康醫院評鑑;醫院員工;健康促進;Health promoting hospital;healthy hospital accreditation;hospital staff;health promotion|
|Issue Date: ||2012-11-26 12:03:15 (UTC+8)|
Health promoting hospitals (HPH), a movement supported by the World Health Organization, initiated by Europe Region in the late 1990's. A HPH incorporates the concepts, value and standards of health promotion in order to improve health for hospital's staff, patients, relatives and communities. The first healthy hospital accreditation in November 2002 in Taiwan was commenced by the Department of Health, Taipei City Government. However, there are few researches in HPH in Taiwan. Therefore, we conducted HPH program in Tri-Service General Hospital in Taipei based on the guideline of WHO Europe and the Health Hospital Accreditation in Taipei city. Hospital staff was the first target group in the HPH plan. This paper aimed to describe staff's health status, smoking and its determinations to identi1y the health promotion issues. There were 2586 employees and subjects were stratified sampling divided by types of hospital's employees. The sample included 798 employees. Data was collected by a structured questionnaire. There was a response of 649 and response rate was 81.3%. The results show that there were 21.7% of employees working over 50 hours per week and almost half staff considered they were healthy. There were 22% staff accompanied by chronic diseases currently and most of that had respiratory problems and duodenal ulcer. Almost 45.8% staff consumed fruits and vegetables only once a day. With regard to smoking statue, 6.0% staff were smokers. Among these smokers, 31.6% of staff wanted to stop smoking. In the analysis of logistic regression model, the gender and types of hospital's employees were statistical significant to the smoking. An association between smoking and gender (male versus female) showed a significantly higher risk (OR, 4.58; 95% C.I. 1.92-10.91). In addition, administrative staff had higher smoking rate than other types of hospital's employees; physicians, nurses and others (versus administrative staff), the ORs were 0.18 (95% C.I. 0.07-052), 0.22 (95% C.I. 0.08-0.60) and 0.72 (95% C.I. 0.22-2.34), respectively. In conclusion, health promotion strategies for this hospital need to redesign the working hours, to develop reasonable shift work schedules for employees, to monitor and follow up the medication of chronic diseases of the employees, to increase the accessibility of healthy diet such as: fruits and vegetables in hospital, and to implement smoking cessation program for the administrative staff.
|Relation: ||醫療品質雜誌/Journal of Healthcare Quality,3(2),10-19.|
|Appears in Collections:||[健康產業管理學系] 期刊論文|
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