Project Gender Friendly Hospital Definition of Guidelines

Transcription

1 Project Gender Friendly Hospital Definition of Guidelines

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3 Gender Friendly Hospital Definition of Guidelines I. Background II. Project at the AKH Linz III. Guidelines IV. Further steps

4 Gender Friendly Hospital Definition of Guidelines I. Background II. Project at the AKH Linz III. Guidelines IV. Further steps

5 Gender Health - a relevant topic? WHO: Vienna statement (1994) Madrid statement Gender Mainstreaming in Health (2001) Strategic action plan for the health of women in Europe (2001) EU: Gender mainstreaming in health/ Gender medicines

6 What is Gender Health? Women s Health is a sex- and genderinformed practice centred on the whole woman of her life grounded in an interdisciplinary sex- and gender informed biopsychosocial science. (WHO, 1994)

7 Why does gender make a difference? Social (Gender) inequity Differences in burden of disease Difference in personal ressources Differences in medical care Differences in behaviour concerning health and disease Inequity in health Mielck& Helmert, 1998

8 What does this have to do with a hospital? Hospitals are people processing organisations ~50% patients are women ~78% of hospital staff is female Gender-specific health care is a quality and a socioeconomic factor

9 No guidelines for the implemetation of gender health in a hospital have been defined so far

10 Gender Friendly Hospital Definition of Guidelines I. Background II. Project at the AKH Linz III. Guidelines IV. Further steps

11 Project Gender Friendly Hospital Definition of guidelines General Hospital of Linz, Austria Interdisciplinary working group September 2005 January 2006

12 Literature Basic principles of women-friendly health care (Jahn and Kolip, 2003) WHO model project (Wimmer-Puchinger, 1993) Austrian Women's Health Report Objective 7 (Federal Ministry for Health and Women's Issues, prepared by the Ludwig Boltzman Institut für Frauengesundheitsforschung)

13 Gender Friendly Hospital Definition of Guidelines I. Background II. Project at the AKH Linz III. Guidelines IV. Further steps

14 Guidelines for a Gender Friendly Hospital aims and strategies General context, no definition of indicators suitable for every general hospital

15 1. Gender-specific education and initial and further training Objective: Gender-friendly professionals Strategies: Integration of gender mainstreaming in hospital strategies (QM, BSC, women's quotas) Addressing gender-sensitive issues in education and initial and further training

16 2. Gender-sensitive approach Objective: Gender-aware staff at all levels Gender-specific documentation Staffing based on self-evident needs, according to context, and free of prejudice Strategies: Examination of job applicants Creation of adjusted staff infrastructure Development of gender-specific documentation Context-based staffing with a focus on gender sensitivity

17 3. Transparency and Public Relations Objective: Improvement of the hospital s image Customer orientation Strategies: Implementation and institutionalisation of a genderspecific culture and medical care

18 4. Respect and consideration of the psychosocial environment Objective: Secure quantitative and qualitative psychosocial care Enhance safety by establishing confidence and understanding Holistic and individual support Consider the social context as an integral part of health and health promotion Strategies: gender-specific discussion and approach standard Networking Creation of ideal circumstances

19 5. Customized gender-specific health care Objective: Prevent excessive, inadequate, or inappropriate health care Strategies: Development of gender-specific, evidence-based guidelines Quality assurance / quality measurement including gender sensitive evaluation Identification of deficits and resources in diagnostics, treatment, and prevention

20 6. Gender-specific health promotion Objective: Promotion of a healthy lifestyle Empowerment and cooperation Strategies: Intersectoral networking/ integration in networks (e.g. network of health-promoting hospitals) Development of gender-specific and target-group strategies for health promotion Improved information for patients

21 7. Individual advice and information Objective: Informed consent Informed choice Strategies: Unbiased information on treatment options / methods and procedures Consideration of the patients' individual needs

22 8. Transparency and use of genderspecific infrastructures Objective: Use of existing gender-specific institutions Appoint of gender representatives for medical care, nursing,etc. in each department Strategies: Networking, publication, and transparency of existing structures Coordination and cooperation intramural and extramural areas Initial and further training of gender representatives

23 9. Coordination of extramural and intramural interfaces Objective: Provide the best possible individual health care Strategies: Identifying, defining, and responding to genderspecific needs

24 10. Improved access and removal of barriers in the hospital setting Objective: Provide the best possible structures Strategies: Identification and removal of possible barriers in the hospital setting Identification of gender-specific requirements

25 11. Patient satisfaction Evaluation and improvement strategies Objective: Quality assurance Strategies: Evaluation of error and complaint management according to gender Measures aimed at reducing and preventing errors

26 Gender Friendly Hospital Definition of Guidelines I. Background II. Project at the AKH Linz III. Guidelines IV. Further steps

27 Further steps Pilot project at one department at the AKH Cooperation with other hospitals

28 Acknowledgements Anna Maria Dieplinger Kambiz Yazdi Selina Haas Soraya Wölfl Erich Hinterreiter Petra Burghardt Roswitha Jungwirth Monika Lederhilger

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