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Health Promotion for NCDs in and by Hospitals: A Health Promoting Hospital Perspective

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Abstract

This chapter focuses on health promotion strategies to tackle non-communicable diseases (NCDs) in and by hospitals. According to WHO data (Global status report on non-communicable diseases. Geneva. World Health Organization, 2010), the four leading NCDs—heart disease, diabetes, respiratory diseases, and cancers—account for 36 million deaths worldwide per annum. WHO argues that up to 80 % of heart disease, stroke, and type 2 diabetes and over a third of cancers could be prevented by eliminating shared risk factors, mainly tobacco use, unhealthy diet, physical inactivity, and the harmful use of alcohol. While there is a broad and ongoing discussion on strengthening the role of primary healthcare in tackling NCDs, especially in low-income countries, we will, in line with our specific expertise, argue that, in upper-middle- and high-income countries, hospitals too can and have to contribute to the secondary as well as to the primary prevention of NCDs. We will outline how health promotion can be used by hospitals to expand common approaches towards prevention, treatment, and rehabilitation of NCDs, by focusing not only on risk factors but also on resources, and developing healthy settings and communities. Examples to illustrate our arguments will be provided.

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References

  • American Lung Association. (Ed.). (2011). Trends in asthma morbidity and mortality. Chronic bronchitis and emphysema. Retrieved September 12, 2012, from http://www.lung.org/finding-cures/our-research/trend-reports/asthma-trend-report.pdf

  • American Lung Association. (Ed.). (2011) Trends in COPD (Chronic bronchitis and emphysema): Morbidity and mortality. Retrieved September 12, 2012, from http://www.lung.org/finding-cures/our-research/trend-reports/copd-trend-report.pdf

  • Battersby, M. W., & The SA HealthPlus Team. (2005). Health reform through coordinated care: SA HealthPlus. BMJ, 330, 662–666.

    Article  PubMed  Google Scholar 

  • Beasley, J. W., Hankey, T. H., Erickson, R., Stange, K. C., Mundt, M., Elliott, M., et al. (2004). How many problems do family physicians manage at each encounter? A WReN study. Annals of Family Medicine, 2, 405–410.

    Article  PubMed  Google Scholar 

  • Bellman, C., Hambraeus, K., Lindback, J., & Lindahl, B. (2009). Achievement of secondary preventive goals after acute myocardial infarction: A comparison between participants and nonparticipants in a routine patient education program in Sweden. The Journal of Cardiovascular Nursing, 24, 362–368.

    PubMed  Google Scholar 

  • Bloom, D. E., Cafiero, E. T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., et al. (2011). The global economic burden of noncommunicable diseases. Geneva: World Economic Forum.

    Google Scholar 

  • Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. JAMA: The Journal of the American Medical Association, 288(19), 2469–2475.

    Article  Google Scholar 

  • Bourbeau, J., Julien, M., Maltais, F., Rouleau, M., Beaupre, A., Begin, R., et al. (2003). Reduction of hospital utilization in patients with chronic obstructive pulmonary disease. A disease-specific self-management intervention. Archives of Internal Medicine, 163, 585–591.

    Article  PubMed  Google Scholar 

  • Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009). Evidence On The Chronic Care Model In The New Millennium. Health Affairs, 28(1), 75–85. doi: 10.1377/hlthaff.28.1.75.

    Article  PubMed  Google Scholar 

  • Coulter, A., & Ellins, J. (2007). Effectiveness of strategies for informing, educating, and involving patients. BMJ, 335, 24–27.

    Article  PubMed  Google Scholar 

  • Dennis, S. M., Williams, A., Taggart, J., Newall, A., Wilson, E. D., Zwar, N., et al. (2012). Which providers can bridge the health literacy gap in lifestyle risk factor modification education: A systematic review and narrative synthesis. BMC Family Practice, 13, 44. doi:10.1186/1471-2296-13-44.

    Article  PubMed  Google Scholar 

  • Dietscher, C. (2012). Interorganizational networks in the settings approach of health promotionThe case of the International Network of Health Promoting Hospitals and Health Services (HPH). Dissertation, University of Vienna.

    Google Scholar 

  • Dietscher, C., Schmied, H., Röthlin, F., & Pelikan, J. M. (2011). Project on a retrospective, internationally comparative evaluation study of HPH (PRICESHPH): Characteristics of national/regional networks of the International Network of Health Promoting Hospitals (HPH). The PRICES – HPH network survey. Report 1. LBIHPR Working Paper Series #11. Vienna: Ludwig Boltzmann Institute Health Promotion Research.

    Google Scholar 

  • Donabedian, A. (1966). Evaluating the quality of medical care. The Milbank Memorial Fund Quarterly, XLIV(3), 166–206.

    Article  Google Scholar 

  • Epping-Jordan, J. E., Pruitt, S. D., Bengoa, R., & Wagner, E. H. (2004). Improving the quality of health care for chronic conditions. Quality & Safety in Health Care, 13(4), 299–305.

    Article  CAS  Google Scholar 

  • Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2011). From the global strategy for the diagnosis, management and prevention of COPD. Retrieved September 12, 2012, from http://www.goldcopd.org/

  • Groene, O. (2006). Implementing health promotion in hospitals: Manual and self assessment forms. Copenhagen: World Health Organization – Regional Office for Europe.

    Google Scholar 

  • Haynes, C. L. (2008). Health promotion services for lifestyle development within a UK hospital – Patients’ experiences and views. BMC Public Health, 8, 284. doi:10.1186/1471-2458-8-284.

    Article  PubMed  Google Scholar 

  • International Diabetes Federation. (2005). Global guideline for type 2. Brussels: International Diabetes Federation.

    Google Scholar 

  • Ion, V. (2011). Making every contact count: A simple yet effective idea. Perspectives in Public Health, 131(2), 69–70.

    Article  PubMed  Google Scholar 

  • Johansson, H., Weinehall, L., & Emmelin, M. (2010). If we only got a chance. Barriers to and possibilities for a more health-promoting health service. Journal of Multidisciplinary Healthcare, 3, 1–9.

    Google Scholar 

  • Kolsgaard, M. L., Joner, G., Brunborg, C., Anderssen, S. A., Tonstad, S., & Andersen, L. F. (2011). Reduction in BMI z-score and improvement in cardiometabolic risk factors in obese children and adolescents. The Oslo adiposity intervention study - a hospital/public health nurse combined treatment. BMC Pediatrics, 11, 47. doi:10.1186/1471-2431-11-47.

    Article  PubMed  Google Scholar 

  • Kotseva, K., Wood, D., De Backer, G., De Bacquer, D., Pyörälä, K., Keil, U., et al. (2009). Cardiovascular prevention guidelines in daily practice: A comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet, 373, 929–940.

    Article  PubMed  Google Scholar 

  • Krieger, J., & Higgins, D. L. (2002). Housing and health: Time again for public health action. American Journal of Public Health, 92(5), 758–768.

    Article  PubMed  Google Scholar 

  • Loveman, E., Frampton, G. K., & Clegg, A. J. (2008). The clinical effectiveness of diabetes education models for Type 2 diabetes: A systematic review. Health Technology Assessment, 12(9), 1–116. iii.

    CAS  Google Scholar 

  • Lugini, D., & Pagani, M. (2012). From stress to functional syndromes: An internist’s point of view. European Journal of Internal Medicine, 23, 295–301.

    Article  Google Scholar 

  • Mannino, D. M., & Buist, A. S. (2007). Global burden of COPD: risk factors, prevalence, and future trends. Lancet, 370(9589), 765–773.

    Article  PubMed  CAS  Google Scholar 

  • McBride, C. M., Emmons, K. M., & Lipkus, I. M. (2003). Understanding the potential of teachable moments: The case of smoking cessation. Health Education Research, 18(2), 156–170.

    Article  PubMed  CAS  Google Scholar 

  • McQueen, J., Howe, T. E., Allan, A., Mains, D., & Hardy, V. (2011). Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database Systematic Reviews (Online) (8), CD005191.

    Google Scholar 

  • Merten, S., Dratva, J., & Ackermann-Liebrich, U. (2005). Do baby-friendly hospitals influence breastfeeding duration on a national level? Pediatrics, 116(5), e702–e708. doi:10.1542/peds.2005-0537.

    Article  PubMed  Google Scholar 

  • Meyer, C., Göpel, E., Siegrist, J., Heiss, C., Kelm, M., & Rassaf, T. (2011). Lifestyle modification programs protecting cardiovascular health in Germany and SwedenA qualitative interview study. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 54(2), 213–220.

    Article  PubMed  CAS  Google Scholar 

  • Milz, H., & Vang, J. (1989). Consultation on the role of health promotion in hospitals. Health Promotion International, 3(4), 425–427.

    Article  Google Scholar 

  • Moullec, G., Lavoie, K. L., Rabhi, K., Julien, M., Favreau, H., & Labrecque, M. (2012). Effect of an integrated care programme on re-hospitalization of patients with chronic obstructive pulmonary disease. Respirology, 17, 707–714. doi:10.1111/j.1440-1843.2012.02168.x.

    Article  PubMed  Google Scholar 

  • Muñiz, J., Gómez-Doblas, J. J., Santiago-Pérez, M. I., Lekuona-Goya, I., Murga-Eizagaetxebarría, N., de Teresa- Galván, S. S. E., et al. (2010). The effect of post-discharge educational intervention on patients in achieving objectives in modifiable risk factors six months after discharge following an episode of acute coronary syndrome, (CAM-2 Project): A randomized controlled trial. Health and Quality of Life Outcomes, 8, 137.

    PubMed  Google Scholar 

  • Murray, C. J., & Lopez, A. D. (1997). Global mortality, disability, and the contribution of risk factors: Global burden of disease study. Lancet, 349(9063), 1436–1442.

    Article  PubMed  CAS  Google Scholar 

  • NHS Yorkshire and Humber. (2011). Prevention and lifestyle behaviour change. A competence framework. Retrieved June 29, 2012, from http://www.yorksandhumber.nhs.uk/document.php?o=6994

  • NICE Clinical Guidelines. (2011). Chronic obstructive pulmonary disease: Management of chronic obstructive pulmonary disease in adults in primary and secondary care. Retrieved May 17, 2012, from http://publications.nice.org.uk/chronic-obstructive-pulmonary-disease-cg101

  • 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). Werbach-Gamburg: G. Conrad Health Promotion Publications.

    Google Scholar 

  • Oppedal, K., Nesvåg, S., Pedersen, B., Skjøtskift, S., Kari, A., Aarstad, H., et al. (2010). Health and the need for health promotion in hospital patients. European Journal of Public Health, 21, 744–749. doi:10.1093/eurpub/ckq148.

    Article  PubMed  Google Scholar 

  • Pelikan, J. M. (2007). Health promoting hospitals – Assessing developments in the network. Italian Journal of Public Health, 5(4), 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: World Health Organization – Regional Office for Europe.

    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(1), 9–15.

    Google Scholar 

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

    Google Scholar 

  • Pelikan, J. M., & Halbmayer, E. (1999). Gesundheitswissenschaftliche grundlagen zur strategie des gesundheitsfördernden krankenhauses. In J. M. Pelikan & S. Wolff (Eds.), Das gesundheitsfördernde krankenhaus. Konzepte und beispiele zur entwicklung einer lernenden organization (pp. 13–36). Weinheim: Juventa.

    Google Scholar 

  • Pelikan, J. M., Krajic, K., & Dietscher, C. (2001). The health promoting hospital (HPH): Concept and development. Patient Education and Counseling, 45, 239–243.

    Article  PubMed  CAS  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. Vienna: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care.

    Google Scholar 

  • Pelikan, J. M., Schmied, H., & Dietscher, C. (2012). Improving organizational health: The case of health promoting hospitals. In G. F. Bauer & O. Hämmig (Eds.), Bridging occupational, organizational and public health. New York, NY: Springer.

    Google Scholar 

  • Qaseem, A., Wilt, T. J., Weinberger, S. E., Hanania, N. A., Criner, G., van der Molen, T., et al. (2011). Diagnosis and management of stable chronic obstructive pulmonary disease: A clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Annals of International Medicine, 155(3), 179–191.

    Article  Google Scholar 

  • Renfrew, M. J., Dyson, L., McCormick, F., Misso, K., Stenhouse, E., King, S. E., et al. (2009). Breastfeeding promotion for infants in neonatal units: A systematic review. Health Technology Assessment, 13(40), 1–146. iii–iv.

    PubMed  CAS  Google Scholar 

  • Riegel, B., & Carlson, B. (2002). Facilitators and barriers to heart failure self-care. Patient Education and Counseling, 46, 287–295.

    Article  PubMed  Google Scholar 

  • Riegel, B., Carlson, B., Moser, D. K., Sebern, M., Hicks, F. D., & Roland, V. (2004). Psychometric testing of the self-care of heart failure index. Journal of Cardiac Failure, 10, 350–360.

    Article  PubMed  Google Scholar 

  • Riegel, B., & Dickson, V. V. (2008). A situation-specific theory of heart failure self-care. The Journal of Cardiovascular Nursing, 23, 190–196.

    PubMed  Google Scholar 

  • Rootman, I., Goodstadt, M., Hyndman, B., McQueen, D. V., Potvin, L., Springett, J., et al. (2001). Evaluation in health promotion. Principles and perspectives (European Series, Vol. 92). Copenhagen: WHO Regional Publications.

    Google Scholar 

  • Samb, B., Desai, N., Nishtar, S., Mendis, S., Bekedam, H., Wright, A., et al. (2010). Prevention and management of chronic disease: A litmus test for health-systems strengthening in low-income and middle-income countries. Lancet, 376(9754), 1785–1797.

    Article  PubMed  Google Scholar 

  • Shaw, J. E., Sicree, R. A., & Zimmet, P. Z. (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, 87, 4–14.

    Article  PubMed  CAS  Google Scholar 

  • Singh, D., & Ham, C. (2006). Improving care for people with long-term conditions. A review of UK and international frameworks. University of Birmingham Health Services Management Centre/NHS Institute for Innovation and Improvement. Retrieved September 16, 2012, from http://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/research/long-term-conditions.pdf

  • Tønnesen, H., Christensen, M. E., Groene, O., O‘Riordan, A., Simonelli, F., Suurorg, L., et al. (2007). An evaluation of a model for the systematic documentation of hospital based health promotion activities: Results from a multicentre study. BMC Health Services Research, 7, 145. doi:10.1186/1472-6963-7-145.

    Article  PubMed  Google Scholar 

  • Tønnesen, H., Fugleholm, A. M., & Jørgensen, S. J. (2005). Evidence for health promotion in hospitals. In O. Gröne & M. Garcia-Barbero (Eds.), Health promotion in hospitals: Evidence and quality management (pp. 21–45). Copenhagen: WHO-Regional Office for Europe.

    Google Scholar 

  • Tønnesen, H., Roswall, N., Odgaard, M. D., Pedersen, K. M., Larsen, K. L., Mathiassen, B., et al. (2008). Basic registration of risk factors in medical records. Malnutrition, overweight, physical inactivity, smoking and alcohol. Ugeskrift for Laeger, 170(20), 1747–1752.

    PubMed  Google Scholar 

  • Tsai, A. C., Morton, S. C., Mangione, C. M., & Keeler, E. B. (2005). A Meta-Analysis of Interventions to Improve Care for Chronic Illnesses. Am J Manag Care, 11(8), 478–488.

    PubMed  Google Scholar 

  • Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving Chronic Illness Care: Translating Evidence Into Action. Health Affairs, 20(6), 64–78. doi:10.1377/hlthaff.20.6.64.

    Google Scholar 

  • Weisz, U., Haas, W., Pelikan, J. M., & Schmied, H. (2011). Sustainable hospitals: A socio-ecological approach. Gaia, 20(3), 191–198.

    Google Scholar 

  • WHO (1946). Preamble to the constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946, signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.

    Google Scholar 

  • World Economic Forum and the Harvard School of Public Health. (2001). From burden to “Best Buys”: Reducing the economic impact of non-communicable diseases in low- and middle-income countries. Geneva: World Economic Forum.

    Google Scholar 

  • World Health Organization. (2002). Innovative care for chronic conditions: Building blocks for action. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization (Ed.). (1986). Ottawa charter on health promotion. Towards a new public health. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization (Ed.). (1991). The Budapest declaration on health promoting hospitals. Copenhagen: WHO-Regional Office for Europe.

    Google Scholar 

  • World Health Organization (Ed.). (1997). Vienna recommendations on health promoting hospitals. Copenhagen: WHO-Regional Office.

    Google Scholar 

  • World Health Organization (2000). Prevention and control of noncommunicable diseases. 51st World Health Assembly, Eighth plenary meeting, 20 May 2000. Geneva: World Health Organization

    Google Scholar 

  • World Health Organization. (2005). Preventing chronic diseases: A vital investment. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2008). 2008–2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases. Copenhagen: World Health Organization – Regional Office for Europe.

    Google Scholar 

  • World Health Organization. (2009). Global health risks. Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2010). Global status report on non-communicable diseases. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2011). Noncommunicable diseases country profiles 2011. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization – Regional Office for Europe. (2012). Action plan for implementation of the European strategy for the prevention and control of noncommunicable diseases 2012 − 2016. Copenhagen: World Health Organization – Regional Office for Europe.

    Google Scholar 

  • World Health Organization & United Nations ‘Children’s Fund. (2009). Baby-friendly hospital initiative. Revised, updated and expanded for integrated care. Section 1: Background and implementation. Geneva: World Health Organization.

    Google Scholar 

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Pelikan, J.M., Dietscher, C., Schmied, H. (2013). Health Promotion for NCDs in and by Hospitals: A Health Promoting Hospital Perspective. In: McQueen, D. (eds) Global Handbook on Noncommunicable Diseases and Health Promotion. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7594-1_29

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