title: Self-reported changes in the implementation of hospital-based health promotion in Taiwan.
abstract: OBJECTIVE
  To evaluate the pattern of perceived changes in the implementation of the Health Promoting Hospital (HPH) Initiative.
  
  
  METHODS
  This was a cross-sectional study with a self-administered questionnaire, asking the correspondents what changes they perceived before and after adopting the HPH initiative.
  
  
  METHODS
  This study was conducted with 55 hospitals committed to the HPH in Taiwan, and 52 completed the questionnaire.
  
  
  METHODS
  One coordinator in each of the 55 hospitals served as subject.
  
  
  METHODS
  HPH seeks to improve health gains for its stakeholders by developing structure, cultures, decisions, and process conducive to health promotion.
  
  
  METHODS
  Perceived changes were measured in the areas of more resource inputs, changing work models, realigned implementation strategies, more programs, higher service volume, and improved quality control. Regarding realigned strategies, emphasizing the impact of healthy public policies, supportive environments, staff participation, individual knowledge and skills, and reorienting health services were measured.
  
  
  METHODS
  Descriptive analysis was used to examine the pattern of "prevalence of changes."
  
  
  RESULTS
  Changes were more prevalent in the domains of patients and community (both with averaged ranks = 1.8); "realigning strategies" was the area in which more changes were perceived (average rank = 1). Emphases on healthy public policies and reorienting health services were the leading changes (both averaged ranks = 2.4) regarding realigning strategies.
  
  
  CONCLUSIONS
  The HPH initiative appeared to be an effective approach to build organizational capacity for health promotion.
authors.forename: Chiachi Bonnie
authors.initials: CB
authors.lastname: Lee
authors.forename: Michael S
authors.initials: MS
authors.lastname: Chen
authors.forename: Michael John
authors.initials: MJ
authors.lastname: Powell
authors.forename: Cordia Ming-Yeuk
authors.initials: CM
authors.lastname: Chu
mesh_terms: D057191:Capacity Building / Q000458:organization & administration; D003430:Cross-Sectional Studies; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration*; D006739:Hospital Administration; D006801:Humans; D015397:Program Evaluation; D057566:Self Report; D013624:Taiwan
keywords: Capacity Building; Evaluation; Health Promoting Hospitals; Health focus: others in organizational capacity for health promotion; Manuscript format: research; Outcome measure: others in organizational capacity for health promotion; Prevention Research; Research purpose: intervention testing/program evaluation, descriptive; Setting: clinical/health care, national; Strategy: policy, culture change, built environment; Study design: non-experimental; Taiwan