Skip to main content
SpringerLink
Log in

Improving Organizational Health: The Case of Health Promoting Hospitals

  • Chapter
  • First Online:
Bridging Occupational, Organizational and Public Health

Abstract

This chapter presents the case of Health Promoting Hospitals (HPH) as one specific approach to dealing with health and organizations. The case will be presented by first clarifying the basic relationships between health, health promotion, and organizations, then by describing main characteristics of the development of the concept and network of HPH and health services, followed by sketching the problems and approaches of implementing health promotion in hospitals up to now. HPH implementation methodology will be summarized by the theoretical PRICES-HPH evaluation model, which has a strong focus on the role of capacity building in implementing health promotion interventions. This model guided the data collection and analysis in an international evaluation study on HPH networks and member hospitals (PRICES-HPH). Empirical results from the study will be presented to illustrate the relationship between capacity building and the implementation of workplace health promotion in HPH. The chapter will close with a short discussion comparing organizational health development and HPH.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Since 1990.

References

  • Bell Woodard, G., McLean, S., Green, K., Moore, M., & Williams, L. (2004). Health promotion capacity checklists: A workbook for individual, organizational and environmental assessment. Saskatoon, Canada: University of Saskatchewan.

    Google Scholar 

  • Brandt, E. (Ed.). (2001). Qualitätsmanagement und Gesundheitsförderung im Krankenhaus: Handbuch zur EFQM-Einführung [Quality management and health promotion in hospital: Manual for introducing EFQM]. Neuwied, Germany: Luchterhand.

    Google Scholar 

  • Brandt, E., & Schmidt, W. (2005). Betriebliche Gesundheitsförderung im Gesundheitsfördernden Krankenhaus. Diakonie Korrespondenz, 9, 35–41.

    Google Scholar 

  • Chu, C., Breucker, G., Harris, N., Stitzel, A., Gan, X., Gu, X., et al. (2000). Health-promoting workplaces: International settings development. Health Promotion International, 15, 155–167.

    Article  Google Scholar 

  • Donabedian, A. (1966). Evaluating the quality of medical care. The Milbank Memorial Fund Quarterly, 44, 166–206.

    Article  PubMed  Google Scholar 

  • Dooris, M. (2006). Healthy settings: Challenges to generating evidence of effectiveness. Health Promotion International, 21, 55–65.

    Article  PubMed  Google Scholar 

  • Dreitzel, H. P. (1971). The social organization of health. New York, NY: McMillan.

    Google Scholar 

  • Dür, W., Pelikan, J. M., & Waldherr, K. (2010). Dealing with complexity in health and health promotion in settings. The Vienna organizational health impact and health promotion intervention model (LBIHPR Working Paper Series #4). Vienna, Austria: Ludwig Boltzmann Institute Health Promotion Research.

    Google Scholar 

  • Groene, O. (Ed.). (2006). Implementing health promotion in hospitals: Manual and self-assessment forms. Copenhagen, Denmark: World Health Organization.

    Google Scholar 

  • Groene, O., & Garcia-Barbero, M. (2005). Health promotion in hospitals: Evidence and quality management. Copenhagen, Denmark: World Health Organization.

    Google Scholar 

  • Hasenfeld, Y. (1983). Human service organizations. Engelwood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Hawe, P., King, L., Noort, M., Jordens, C., & Lloyd, B. (2000). Indicators to help with capacity building in health promotion. Sydney, Australia: NSW Health Department.

    Google Scholar 

  • Hawe, P., Noort, M., King, L., & Jordens, C. (1997). Multiplying health gains: The critical role of capacity-building within health promotion programs. Health Policy, 39, 29–42.

    Article  PubMed  CAS  Google Scholar 

  • Hawe, P., & Shiell, A. (2000). Social capital and health promotion. A review. Social Science & Medicine, 51, 871–885.

    Article  CAS  Google Scholar 

  • International HPH Network. (2010). Constitution of HPH & Memorandum of understanding between WHO and the International HPH Network. Copenhagen, Denmark: WHO Collaborating Centre for Evidence-based Health Promotion in Hospitals and Health Services. Retrieved from http://hphnet.org/attachments/article/21/Constitution%20and%20%20mou.pdf

  • Levitt, B., & March, J. G. (1988). Organizational learning. Annual Reviews of Sociology, 14, 319–340.

    Article  Google Scholar 

  • Luhmann, N. (1986). The autopoisesis of social systems. In F. Geyer & J. von den Zouwen (Eds.), Sociocybernetic paradoxes: Observation, control and evolution of self-steering systems (pp. 171–192). Beverly Hills, CA: Sage.

    Google Scholar 

  • Maturana, H. R., & Varela, F. J. (1980). Autopoiesis and cognition: The realization of the living. Dordrecht, Netherlands: Reidel.

    Book  Google Scholar 

  • Milz, H., & Vang, J. (1989). Consultation on the role of health promotion in hospitals. Health Promotion International, 3, 425–427.

    Article  Google Scholar 

  • Mintzberg, H. (1980). Structure in 5′s: A synthesis of the research on organization design. Management Science, 26, 322–341.

    Article  Google Scholar 

  • Møller, A. M., Villebro, N., Pedersen, T., & Tønnesen, H. (2002). Effect of preoperative smoking intervention on postoperative complications: A radomised clinical trail. Lancet, 359, 114–117.

    Article  PubMed  Google Scholar 

  • Nielsen, P. R., Jørgensen, L. D., Dahl, B., Pedersen, T., & Tønnesen, H. (2010). Prehabilitation and early rehabilitation after spinal surgery: Randomized clinical trial. Clinical Rehabilitation, 24, 137–148.

    Article  PubMed  Google Scholar 

  • Nowak, P., Lobnig, H., Krajic, K., & Pelikan, J. M. (1998). Case Study Rudolfstiftung Hospital, Vienna, Austria – WHO Model Project “Health and Hospital”. In J. M. Pelikan, M. Garcia-Barbero, H. Lobnig, & K. Krajic (Eds.), Pathways to a health promoting hospital: Experiences from the European pilot hospital project 1993–1997 (pp. 47–66). Hamburg, Germany: Health Promotion Publications.

    Google Scholar 

  • Nutbeam, D. (1998). Evaluating health promotion: Progress, problems and solutions. Health Promotion International, 13, 27–44.

    Article  Google Scholar 

  • Pelikan, J. M. (2007). Health promoting hospitals: Assessing developments in the network. Italian Journal of Public Health, 5, 261–270.

    Google Scholar 

  • Pelikan, J. M., Dietscher, C., Krajic, K., & Nowak, P. (2005). Eighteen core strategies for health promoting hospitals. In O. Groene & M. Garcia-Barbero (Eds.), Health promotion in hospitals: Evidence and quality management (pp. 48–67). Copenhagen, Denmark: World Health Organization.

    Google Scholar 

  • Pelikan, J. M., Dietscher, C., Röthlin, F., & Schmied, H. (2011). Hospitals as oranizational settings for health promotion. Vienna: LBIHPR.

    Google Scholar 

  • Pelikan, J. M., Dietscher, C., Schmied, H., & Röthlin, F. (2011). A model and selected results from an evaluation study on the International HPH Network (PRICES-HPH). Clinical Health Promotion, 1, 9–15.

    Google Scholar 

  • Pelikan, J. M., Dietscher, C., & Schmied, H. (2013). In how far is the health promoting hospital a salutogenic hospital, and how can it be developed? In G. F. Bauer & G. J. Jenny (Eds.), Salutogenic organizations and change: The concepts behind organizational health intervention research (pp. 149–165). Dordrecht: Springer.

    Chapter  Google Scholar 

  • Pelikan, J. M., Garcia-Barbero, M., Lobnig, H., & Krajic, K. (1998). Pathways to a health promoting hospital: Experiences from the European pilot hospital project 1993–1997. Hamburg, Germany: Health Promotion Publications.

    Google Scholar 

  • Pelikan, J. M., & Halbmayer, E. (1999). Gesundheitswissenschaftliche Grundlagen zur Strategie des Gesundheitsfördernden Krankenhauses [Health science foundations for the strategy of the health-promoting hospital]. In J. M. Pelikan & S. Wolff (Eds.), Das gesundheitsfördernde Krankenhaus. Konzepte und Beispiele zur Entwicklung einer lernenden Organisation (pp. 13–36). Weinheim, Germany: Juventa.

    Google Scholar 

  • Pelikan, J. M., Krajic, K., Dietscher, C., & Nowak, P. (2006). Putting HPH policy into action. Working Paper of the WHO Collaborating Centre on Health Promotion in Hospitals and Health Care, WHO Collaborating Centre for Health Promotion in Hospitals and Health Care, Vienna. Retrieved from http://www.hph-hc.cc/Downloads/HPH-Publications/wp-strategies-final.pdf

  • Pelikan, J. M., & Wolff, S. (Eds.). (1999). Das gesundheitsfördernde Krankenhaus: Konzepte und Beispiele zur Entwicklung einer lernenden Organisation [The health-promoting hospital: Concepts and examples for the development of a learning organization]. Weinheim, Germany: Juventa.

    Google Scholar 

  • Rootman, I. (2001). Introduction. In I. Rootman, M. Goodstadt, B. Hyndman, D. McQueen, L. Potvin, J. Springett, & E. Ziglio (Eds.), Evaluation in health promotion: Principles and perspectives (pp. 3–6). Copenhagen, Denmark: World Health Organization.

    Google Scholar 

  • Röthlin, F. (in press). Managerial strategies to reorient hospitals towards health promotion. Lessons from organisational theory. Journal of Health Organization and Management, 27(6).

    Google Scholar 

  • Röthlin, F., Schmied, H., & Dietscher, C. (2013). Organizational capacities for health promotion implementation: Results from an international hospital study. Health Promotion International. doi:10.1093/heapro/dat048.

    PubMed  Google Scholar 

  • Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. New York: Doubleday.

    Google Scholar 

  • Smith, B. J., Tang, K. C., & Nutbeam, D. (2006). WHO health promotion glossary: New terms. Health Promotion International, 21, 340–345.

    Article  PubMed  Google Scholar 

  • Sorge, A., & van Witteloostuijn, A. (2004). The (non)sense of organisational change: An essay about universal management hypes, sick consultancy metaphors, and healthy organisations. Organisation Studies, 25, 1205–1231.

    Article  Google Scholar 

  • Tønnesen, H., Rosenberg, J., Nielsen, H. J., Rasmussen, V., Hauge, C., Pedersen, I. K., et al. (1999). Effect of preoperative abstinence on poor postoperative outcome in alcohol misusers: Randomised controlled trial. British Medical Journal, 318, 1311–1316.

    Article  PubMed  Google Scholar 

  • Weisz, U., Haas, W., Pelikan, J. M., & Schmied, H. (2011). Sustainable hospitals: A socio-ecological approach. Gaia, 20, 191–198.

    Google Scholar 

  • WHO Regional Office for Europe. (2009). Memorandum of Understanding for Collaboration between the World Health Organization, through its Regional Office for Europe and the International Network of Health Promoting Hospitals and Health Services, 2009–2012. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0003/134688/MoU_HPH_Network_2009-2012.pdf

  • World Health Organization. (1948). Constitution of the World Health Organization (Basic Documents, Forty-fifth edition, Supplement, October 2006). Geneva, Switzerland: Author. Retrieved from http://www.who.int/governance/eb/who_constitution_en.pdf

  • World Health Organization. (1986). Ottawa charter for Health Promotion (WHO/HPR/HEP/95.1). Geneva, Switzerland: Author. Retrieved from http://www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf

  • World Health Organization. (1991). The Budapest Declaration on health promoting hospitals. Copenhagen, Denmark: Author.

    Google Scholar 

  • World Health Organization. (1997a). Jakarta Declaration on leading health promotion into the 21st century. Geneva, Switzerland: Author.

    Google Scholar 

  • World Health Organization. (1997b). The Vienna Recommendations on Health Promoting Hospitals. Copenhagen, Denmark: Author.

    Google Scholar 

  • World Health Organization. (1998). Health promotion glossary (WHO/HPR/HEP/98.1) Geneva, Switzerland: Author. Retrieved from http://www.who.int/hpr/NPH/docs/hp_glossary_en.pdf

  • World Health Organization. (2007). The International Network of Health Promoting Hospitals and Health Services: Integrating health promotion into hospitals and health services. Copenhagen, Denmark: Author. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0009/99801/E90777.pdf

Download references

Author information

Authors and Affiliations

  1. Ludwig Boltzmann Institute Health Promotion Research, Untere Donaustraße 47/3, A-1020, Vienna, Austria

    Jürgen M. Pelikan, Hermann Schmied & Christina Dietscher

Authors
  1. Jürgen M. Pelikan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hermann Schmied
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christina Dietscher
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jürgen M. Pelikan .

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Pelikan, J.M., Schmied, H., Dietscher, C. (2014). Improving Organizational Health: The Case of Health Promoting Hospitals. In: Bridging Occupational, Organizational and Public Health. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5640-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-94-007-5640-3_9

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-5639-7

  • Online ISBN: 978-94-007-5640-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation