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    題名: 醫院推行員工健康促進之現況調查與自評成果初探
    A Study of Current Status and Self Evaluation of Staff Health Promotion among Hospitals in Taiwan
    作者: 李曉晴;Hsiao-Ching Lee
    貢獻者: 公共衛生學院醫務管理學研究所碩士班
    關鍵詞: 員工健康促進;台灣健康促進學會;戒菸活動;Staff Health Promotion;Health Promoting Hospital;Smoke Cessation.
    日期: 2010
    上傳時間: 2010-09-29 12:05:42 (UTC+8)
    摘要: 背景與目的:醫院對於員工健康促進之重視,不僅可以減少人資成本支出,更可營造出優良的工作氛圍,因此,本研究之目的為探討國內醫院在推動員工健康促進之現況與成果。
    方法:本研究為前瞻性研究,以郵寄問卷方式進行調查,郵寄對象為醫學中心、區域醫院、地區醫院採立意取樣,在研究期間一共寄發166份問卷,回收率為52.4%。以單一變數分析進行描述性統計、t檢定了解變項間之相關性,並以單因子變異進行分析,具顯著差異再以薛費事後檢定(Scheffe’ Poster Test)進行比較,最後以複迴歸分析預測自評成果之相關因素。
    結果:檢視母體與醫院層級、是否為HPH會員,皆為無顯著差異,本研究回收之樣本具代表性。2009年醫院員工健康促進活動前三名為戒菸(83.6%)、安全職場(67.2%)以及體重控制-運動(52.5%);2010年預計推動活動前三項為戒菸(70.5%)、安全職場 (57.4%)以及壓力管理與心理健康(55.7%)。台灣健康促進學會(HPH)會員其問卷回覆比率較高(52.5%)。成果部份,醫院層級高在自評成果上分數也較高,HPH會員醫院推動健康促進「活動項目較多」,加入HPH時間長短會影響推行活動項目多寡,自評分數上HPH會員較未加入之醫院高,在統計結果裡,加入HPH時間長短、醫院層級、是否為HPH會員與自評成果高度相關(p<.05),複迴歸結果顯示:醫院層級、權屬、規模、加入年份與是否為HPH會員醫院可預測員工健康促進自評成果。
    結論:醫院積極推行各項戒菸活動,有半數以上員工願意戒菸並加入醫院所舉辦之相關活動,但在員工健康狀況後續追蹤方面,多數醫院並未確實執行,建議醫院應持續追蹤,以落實醫院對員工身體健康之重視。

    Objectives: The purpose of this study is to investigate the current status and its effects of staff health promotion among hospitals in Taiwan.

    Methods: This study sent out 166 questionnaires to medical centers, regional hospitals and small district hospitals, the response rate is 52.4%. The statistical analyses include one way ANOVA, birariate analysis and multiple regressions by using SPSS.

    Result: The top three events of hospital staff health promotion are smoking cessation (83.6%), working environment safety (67.2%) , and weight control-exercise (52.5%) in 2009. The only change in 2010 is stress management and mental health become number three (55.7%). HPH member hospital implemented more events and activities as well as had better performance than non-HPH membership hospitals. The multiple regression analyses show that hospital status, ownership, size, and HPH member are significant in explaining staff health promotion performance.

    Conclusions: Most hospitals have implemented many staff health promotion activities but the performance evaluations are still scarce. In order to effectively improve staff health top managers need to pay attention to health education and follow up evaluation.
    顯示於類別:[醫務管理學系暨碩士班] 博碩士論文

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