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Application of the Ottawa Charter Five Priority Areas of Action for Public Health to an Institution-Wide Diabetes Care Promotion

Author

Listed:
  • Min-Hua Lin

    (Department of Nutrition, China Medical University, Taichung 40402, Taiwan
    Department of Dietetics, Yunlin Christian Hospital, No. 375, Shichang S. Rd.Xiluo Township, Yunlin 64866, Taiwan)

  • She-Yu Chiu

    (Institute of Population Health Sciences, National Health Research Institutes, No. 35, Keyan Road, Zhunan Town, Miaoli County 35053, Taiwan)

  • Wen-Chao Ho

    (College of Public Health, China Medical University, No. 91, Hsueh-Shih Road, Taichung 40402, Taiwan
    Department of Nursing & Graduate Institute of Nursing, Asia University, No. 500, Lioufeng Road, Wufeng, Taichung 41354, Taiwan)

  • Hui-Ying Huang

    (Department of Nutrition, China Medical University, Taichung 40402, Taiwan)

Abstract

This study was the first institution-wide health promotion program in Taiwan to apply the five priority areas for taking action in public health highlighted in the Ottawa Charter for diabetes patients. We aimed to improve the quality of home care received by diabetic patients by training health care professionals in health promotion. This program consisted of developing personal skills, reorienting health services, strengthening community actions, creating supportive environments, and building healthy public policy. It was applied in the Yunlin Christian Hospital located in central Taiwan from August 2011 to November 2011. A health-promoting education course consisting of weight control, diabetes care, and quality management for diabetes was developed and applied to all 323 hospital staff. Then, hospital staff volunteers and diabetes patients were recruited to participate in the program. A total of 61 staff volunteers and 90 diabetes patients were involved in this study. Staff volunteers were trained to participate in communities to provide care and guidance to patients with diabetes. The World Health Organization Quality of Life(WHOQOL)-BREF-Taiwan Version questionnaires were investigated before and after implementation of this program for the patients. A health-promoting lifestyle profile questionnaire was filled by the staff. The investigation data were then analyzed by statistical methods. The diabetes patients experienced a significant increase in their satisfaction with health and health-related quality of life as well as significant improvements in health-promotion and self-management behaviors ( p < 0.05). In addition, staff volunteers significantly consumes food from the five major groups than the other staff ( p < 0.05). Various improvements in health-promoting behaviors were observed amongst the hospital staff and the diabetic patients. Our project could be a reference for other medical organizations to implement an institution-wide health-promotion program for diabetic patients.

Suggested Citation

  • Min-Hua Lin & She-Yu Chiu & Wen-Chao Ho & Hui-Ying Huang, 2021. "Application of the Ottawa Charter Five Priority Areas of Action for Public Health to an Institution-Wide Diabetes Care Promotion," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1543-:d:494479
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    References listed on IDEAS

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    1. Grace Lindsay & Kathryn Inverarity & Joan R. S. McDowell, 2011. "Quality of Life in People with Type 2 Diabetes in Relation to Deprivation, Gender, and Age in a New Community-Based Model of Care," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-8, June.
    2. Sandipana Pati & F G Schellevis, 2017. "Prevalence and pattern of co morbidity among type2 diabetics attending urban primary healthcare centers at Bhubaneswar (India)," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-12, August.
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