Chapter 12 Heath Facility Settings
Chapter Overview
Key Issues and Learning Outcomes
Key issues within this chapter:- Health facilities are an important setting for health promotion.
- There is a need to improve the quantity and quality of health promotion provided within health facilities.
- Health promotion activities include patient education and outreach from health services into communities.
- Well-planned programmes of tailored patient education are necessary to promote adherence to medication, adoption of lifestyle changes, utilization of health services and informed decision-making on self care.
- critically assess the potential of health facilities as a setting for health promotion.
- describe the role of health promotion in key health settings - hospitals, pharmacies and primary care.
- be able to plan a programme of patient education for a health facility setting.
Test your Knowledge
Having read the chapter can you now answer the following questions?
- Health promotion should be integral part of all health activities. What are the characteristics of a health promoting facility?
- How could you adapt a patient waiting area in a health centre to become health promoting?
- What would be your objective of patient education for a middle-aged woman with lower back pain who was obese and smoked twenty cigarettes a day?
- You have been asked to organize a well person’s clinic for men aged 45-55. What potential activities would you wish to include and why?
- ‘Hospitals are an underutilized setting for health promotion.’ Discuss this statement suggesting ways that you could enhance their use to promote health.
- Some people are reluctant to seek health advice in an appropriate and timely fashion. What are the potential barriers that prevent those with greatest need accessing the services?
- Many health workers feel that they are too busy to undertake health promotion. What strategies could you suggest to address this issue?
Internet links
The Expert Patients Programme is a self-management course giving people the confidence, skills and knowledge to manage their condition better and be more in control of their lives.
http://www.expertpatients.nhs.uk/public/default.aspx
Standards for health promotion in hospitals. From the World Health Organization. http://www.euro.who.int/document/e82490.pdf
Articles
Department of Health (2001). ‘The Expert Patient: a new approach to chronic disease management for the 21st Century.’ London: Department of Health. http://www.dh.gov.uk/PublicationsAndStatistics/Publications/ PublicationsPolicyAndGuidance/ PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4006801&chk=UQCoh9
Haddock, J. and Burrows, C. (1997). ‘The role of the nurse in health promotion: an evaluation of a smoking cessation programme in surgical pre-admission clinics.’ Journal of Advanced Nursing, 26, 1098-1110.
http://www.blackwell-synergy.com/doi/abs/10.1046/j.1365-2648.1997.00452.x
Sinclair, H. K., Bond, C. M., Lennox, A. S., Silcock, J., Winfield, A. J. and Donnan, P. T. (1998). ‘Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomized controlled trial in Scotland.’ Tobacco Control, 7, 253-261.
http://tc.bmj.com/cgi/content/abstract/7/3/253
Tod, A. M., Read, C., Lacey, A. and Abbott, J. (2001). ‘Barriers to uptake of services for coronary heart disease: qualitative study.’ British Medical Journal, 323, 214. http://www.bmj.com/cgi/content/full/323/7306/214
