Wr. Stanton et al., BARRIERS TO HEALTH PROMOTION ACTIVITIES IN PUBLIC HOSPITALS, Australian and New Zealand journal of public health, 20(5), 1996, pp. 500-504
Despite the central role hospitals have in the health care system, rel
atively few health promotion activities are conducted in Australian pu
blic hospitals. This study investigated the types of obstacles that we
re perceived to inhibit health promotion activities in hospitals. A qu
estionnaire for self-completion was sent to medical superintendents in
all public hospitals in Queensland and 112 questionnaires were return
ed (92.6 per cent response rate). The results indicated that lack of f
inance, lack of interest by relevant others, and needs (for appropriat
e programs, training and patient receptivity) were the barriers report
ed by superintendents. The barriers of 'interest' and 'needs' were rel
ated to a lack of written policies in some areas, but not directly to
levels of other health promotion activities being conduced in the hosp
itals. Success in facilitating health promotion programs in hospitals
will need to include a change in the environment, in particular the vi
ews of medical superintendents. The combination of attitude change and
the availability of a motivated person (such as a health promotion of
ficer) to lead the activities may be needed in order to produce an inc
rease in the level of health promotion in public hospitals.