以歐洲經驗導入台灣未來推動健康促進醫院之建議

Introducing the European Experience to the Implementation of Health Promoting Hospital in Taiwan

世界衛生組織於1986年發表的渥太華憲章，提出「調整健康服務取向」的健康促進策略，由此宣言展開了之後歐洲各國推動健康促進醫院的先機，並且組成聯盟持續推展，截至2006年已經擁有眾多全國性／區域性網絡。台北市於2002年發展第一套台灣本土的健康醫院評鑑，成為國內「健康促進醫院」的計畫先驅，然而台灣目前仍缺少實證性之研究，國內醫院對健康醫院概念尚顯模糊，故本文主要目的是探討歐洲健康促進醫院的發展過程、現況推動、及其策略與評估標準，並將之與台灣推行情形相互比較，提出建議，期望歐洲推動經驗可作為國內實行之借鏡，亦使得國內未來健康醫院推動的發展能更具意義，並永續發展。

In 1986, WHO suggested reorientation of health service as one of the most important strategies in Ottawa Charter. After that, some countries in Europe started to develop health promoting hospitals (HPH). What is more, they formed networks in order to keep on developing it. There had had a great number of national/regional networks until 2006. Taiwan implemented the first healthy hospital accreditation in Taipei in 2002. It than became the prototype of the development of health promoting hospitals in Taiwan. However, there are currently insufficient evidence-based studies available, and the notion of health promoting hospitals still remains unclear in Taiwan. Therefore, the purpose of this article is to explore the process of the development of health promoting hospitals, the current situation of the development, and strategies and standards of HPH in Europe and comparing them with those in Taiwan. The author will make suggestions, expecting that experience in Europe can be a useful reference for Taiwan and facilitate more meaningful and sustainable development in Taiwan.