Understanding Settings in Health Promotion: A Framework Analysis

USC Public Health Programs. This template is a summary of the ‘Understanding Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
1. Understanding Settings
Area of the Poland et al Framework Evidence from research process
Diversity
- How is it different and similar to settings in other categories?
- What diversity can be expected within this setting category?
Logan Hospital aims to provide a diverse range of health care facilities that include services for children as
well as adults [11]. It provides acute care, surgical care, maternal health care as well as rehabilitation
services. It is different from other hospitals of similar setting in terms of the care facilities offered to a
culturally diverse group of target audiece and the economic fesability of the services offered [12].
Knowledge
- What assumptions are made about setting?
- How has role of setting changed over time?
The health care settings seems to be extremely promising which can be predicted on the basis of the
expanding business operation. What initially started as a mediocore hospital in the year, 1993 has
expanded and presently has a new emergency unit, along with children’s inpatient and rehabilitaion unit.
Localised determinants
- How does the setting interact with external environments?
- How does the setting interact with other settings?
- What are the physical and built environmental determinants of health in
this setting?
- What are the psychosocial environmental determinants of health in this
setting?
The health care setting is appropriately designed in order to deliver quality services to patients from
diverse cultural background and also offers services such as, Acute Mental Health Care, Allied Health,
Audiology,Breast and Endocrine Surgery, Cardiology,Child and Youth Mental Health, Colorectal Surgery,
Consultation Liaison Psychiatry and Diabetes [11]. The therapeutic relationship based upon the cultural
background of the patients and the professionals serve as the psychosocial enviornmental determinants of
health.
Stakeholders
- Primary and secondary stakeholders
- Agendas, access to resources
- Functions of setting for different stakeholders
- Who is absent from this setting?
- What is the meaning of health for stakeholders?
- To what degree do stakeholders understand the determinants of health in
the setting?
The primary stake holders are the board of directors committee of the Logan hospital, the managerial post
holders and the employees [13]. The secondary stake holders are the patients, the suppliers and the health
promotion officers. The primary stake holders govern the overall functioning of the health care
organization and maintain the quality of the services offered. On the other hand, the business input of the
organization is dependent upon the secondary stake holders whop avail the facilities.
Power, influence and social change (sociopolitical environment)
- How are power relations formed?
- Who controls access?
- Who sets the agenda?
- Who participates in decision making?
- Who has voice?
- Who/what drives/blocks change?
- Identify stakeholders who may be supportive, resistant and neutral to
proposed changes
The organization is based upon a hierarchal structure. The majoir decisions about the introduction of a
change in the operational setting is taken by the primary stakeholders, that include the board of directors
and the managers [14]. The agenda is determined by the mangers. The managers and the health care
supervisors participate in the decision making process. The acceptance or rejection of the change depends
upon the employee workforce. The employees might either be supportive or might hinder in the process
of acceptance of the change [15].

USC Public Health Programs. This template is a summary of the ‘Understanding Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
2. Frameworks
(list the appropriate frameworks, models and/or other resources that you will utilise to make recommendations to strengthen your health promoting setting)
The proposed framework would be based upon the transtheoretical model and would assimilate the change in the system with the use of effective resources. The resources
required would include upgrading the infrastructure and organising training for the professionals to effective serve within the community setting.
Structure of the Project:
Project sponsor
Project Manager
Working Group 1
Working Group 2
Steering Group