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Evidence from the review promotes hospitals to have a Board quality committee, with a specific item on quality at the Board meeting, a quality performance measurement report and a dashboard with national quality and safety benchmarks along with standardised quality and safety measures.
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It emphasises prevention, sees the core of service delivery at community and primary care level, promotes hospital reorganisation and gives institutional care a more proportionate role in service delivery.
One can imagine, in other words, health promoting hospitals, and ideally, as prominences in a cultural landscape of health promotion.
Health promoting hospitals (HPH) is a concept for hospital development that builds upon the health promotion concept of the WHO Ottawa Charter for health promotion, where the reorientation of health care services is considered as one of five major action areas for an overall health promotion development.
There are many community hospitals and sub-district health-promoting hospitals, but they do not have considerable clinical specialty".
Only in this way can the performance evaluation play a real role in promoting hospitals to improve their performance.
To this end the WHO HPH network has recently developed a strategic and quality framework for health promoting hospitals [ 4].
Some respondents suggested that the number of community hospitals and sub-district health-promoting hospitals is higher than tertiary care hospitals.
Most common single users were at the health promoting hospitals (26.2%-32.3%), followed by community hospitals (17.6%-22.6%) and general/regional hospitals (2.8%-13.9%).
For two-service-type users, the most common was the combination of health promoting hospitals and community hospitals (14.1%-23.5%), followed by health promoting and general/regional hospitals (2.3%-7.4 2.3%-7.4ommunity hospitals and general /regional hospitals (1.5%-3.8%).
Respondents described how stakeholder groups (e.g. health providers and representatives from the health promoting hospitals network) raised different considerations regarding the future use of the guidelines.
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