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首页> 外文期刊>International Journal of Environmental Research and Public Health >Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study
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Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study

机译：在健康促进医院和卫生服务的背景下处理烟草问题的经验：定性研究

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The worldwide Health Promoting Hospital and Health Services (HPH) network was initiated by the World Health Organizations in the late 1980s. The goal of the network is to change the focus of health services from curing patients to also embrace disease prevention and health promotion. In Sweden the network started in 1996, and involves mainly hospitals and primary care. The network members collaborate in task forces, one of which is working on the tobacco issue. There is limited evidence on the value of working within an HPH organization. The aim of this study was to investigate the experiences of members of the Swedish HPH network tobacco task force. Focus group interviews with task force members were analyzed using implementation theory. Three themes, overall experiences of working with tobacco issues, experiences of working with “free from tobacco in connection with surgery”, and experiences of work in the HPH tobacco task force, emerged from the interviews. The results show that working with the tobacco issue in the context of health-promoting hospitals and health services met with difficulties involving the following important factors: evidence, context, facilitation and adopter characteristics. Leadership, one contextual factor, at national and local level, seems to be crucial if the work is going to succeed. The tobacco task force of the HPH network is an important facilitator supporting the task.
机译：世界卫生组织于1980年代末发起了全球健康促进医院和卫生服务（HPH）网络。该网络的目标是将医疗服务的重点从治愈患者转变为也包括疾病预防和健康促进。在瑞典，该网络始于1996年，主要涉及医院和初级保健。网络成员在工作队中进行协作，其中之一正在研究烟草问题。在HPH组织中工作的价值的证据有限。这项研究的目的是调查瑞典HPH网络烟草工作队成员的经验。使用实施理论分析了与工作组成员进行的焦点小组访谈。采访中出现了三个主题，即处理烟草问题的总体经验，“与手术无关的烟草”工作经验以及HPH烟草工作队的工作经验。结果表明，在促进健康的医院和卫生服务机构中处理烟草问题遇到了许多困难，这些困难涉及以下重要因素：证据，背景，便利和采用者特征。如果要使这项工作取得成功，在国家和地方两级的领导才能似乎至关重要。 HPH网络的烟草工作队是支持该任务的重要推动者。

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