PDF(Pubmed)
Abstract：
BACKGROUND: In 2016, a voluntary National Healthy Food and Drink Policy (hereafter, \"the Policy\") was released to encourage public hospitals in New Zealand to provide food and drink options in line with national dietary guidelines. Five years later, eight (of 20) organisations had adopted it, with several preferring to retain or update their own institutional-level version. This study assessed staff and visitors\' awareness and support for and against the Policy, and collected feedback on perceived food environment changes since implementation of the Policy.
METHODS: Cross-sectional electronic and paper-based survey conducted from June 2021 to August 2022. Descriptive statistics were used to present quantitative findings. Free-text responses were analysed following a general inductive approach. Qualitative and quantitative findings were compared by level of implementation of the Policy, and by ethnicity and financial security of participants.
RESULTS: Data were collected from 2,526 staff and 261 visitors in 19 healthcare organisations. 80% of staff and 56% of visitors were aware of the Policy. Both staff and visitors generally supported the Policy, irrespective of whether they were aware of it or not, with most agreeing that \"Hospitals should be good role models.\" Among staff who opposed the Policy, the most common reason for doing so was freedom of choice. The Policy had a greater impact, positive and negative, on Māori and Pacific staff, due to more frequent purchasing onsite. Most staff noticed differences in the food and drinks available since Policy implementation. There was positive feedback about the variety of options available in some hospitals, but overall 40% of free text comments mentioned limited choice. 74% of staff reported that food and drinks were more expensive. Low-income staff/visitors and shift workers were particularly impacted by reduced choice and higher prices for healthy options.
CONCLUSIONS: The Policy led to notable changes in the healthiness of foods and drinks available in NZ hospitals but this was accompanied by a perception of reduced value and choice. While generally well supported, the findings indicate opportunities to improve implementation of food and drink policies (e.g. providing more healthy food choices, better engagement with staff, and keeping prices of healthy options low) and confirm that the Policy could be expanded to other public workplaces.
METHODS: Cross-sectional electronic and paper-based survey conducted from June 2021 to August 2022. Descriptive statistics were used to present quantitative findings. Free-text responses were analysed following a general inductive approach. Qualitative and quantitative findings were compared by level of implementation of the Policy, and by ethnicity and financial security of participants.
RESULTS: Data were collected from 2,526 staff and 261 visitors in 19 healthcare organisations. 80% of staff and 56% of visitors were aware of the Policy. Both staff and visitors generally supported the Policy, irrespective of whether they were aware of it or not, with most agreeing that \"Hospitals should be good role models.\" Among staff who opposed the Policy, the most common reason for doing so was freedom of choice. The Policy had a greater impact, positive and negative, on Māori and Pacific staff, due to more frequent purchasing onsite. Most staff noticed differences in the food and drinks available since Policy implementation. There was positive feedback about the variety of options available in some hospitals, but overall 40% of free text comments mentioned limited choice. 74% of staff reported that food and drinks were more expensive. Low-income staff/visitors and shift workers were particularly impacted by reduced choice and higher prices for healthy options.
CONCLUSIONS: The Policy led to notable changes in the healthiness of foods and drinks available in NZ hospitals but this was accompanied by a perception of reduced value and choice. While generally well supported, the findings indicate opportunities to improve implementation of food and drink policies (e.g. providing more healthy food choices, better engagement with staff, and keeping prices of healthy options low) and confirm that the Policy could be expanded to other public workplaces.
摘要：
背景：2016年，一项自愿的国家健康食品和饮料政策(以下简称，“政策”）的发布是为了鼓励新西兰的公立医院提供符合国家饮食指南的食品和饮料选择。五年后,20个组织中有8个采用了它，有几个人更愿意保留或更新自己的机构级版本。这项研究评估了员工和访客对政策的认识和支持，并收集了自该政策实施以来对食品环境变化的反馈。
方法：2021年6月至2022年8月进行的横断面电子和纸质调查。描述性统计用于呈现定量结果。按照一般归纳法对自由文本答复进行了分析。按政策执行水平比较了定性和定量结果，以及参与者的种族和财务安全。
结果：数据来自19个医疗机构的2,526名员工和261名访客。80％的员工和56％的访客了解该政策。工作人员和访客普遍支持该政策，不管他们是否意识到，大多数人都同意“医院应该是很好的榜样。“在反对这项政策的工作人员中，最常见的原因是选择自由。政策影响较大,积极和消极，关于毛利人和太平洋工作人员，由于更频繁的现场采购。大多数工作人员注意到自政策实施以来可用的食品和饮料的差异。对一些医院提供的各种选择有积极的反馈，但总体而言，40%的自由文本评论提到了有限的选择。74%的员工表示食品和饮料更昂贵。低收入员工/访客和轮班工人尤其受到选择减少和健康选择价格上涨的影响。
结论：该政策导致新西兰医院食品和饮料的健康状况发生了显著变化，但伴随着人们对价值和选择减少的看法。虽然总体上得到了很好的支持，调查结果表明，改善食品和饮料政策实施的机会(例如，提供更多健康食品选择，更好地与员工接触，并保持健康选择的价格较低），并确认该政策可以扩展到其他公共工作场所。
方法：2021年6月至2022年8月进行的横断面电子和纸质调查。描述性统计用于呈现定量结果。按照一般归纳法对自由文本答复进行了分析。按政策执行水平比较了定性和定量结果，以及参与者的种族和财务安全。
结果：数据来自19个医疗机构的2,526名员工和261名访客。80％的员工和56％的访客了解该政策。工作人员和访客普遍支持该政策，不管他们是否意识到，大多数人都同意“医院应该是很好的榜样。“在反对这项政策的工作人员中，最常见的原因是选择自由。政策影响较大,积极和消极，关于毛利人和太平洋工作人员，由于更频繁的现场采购。大多数工作人员注意到自政策实施以来可用的食品和饮料的差异。对一些医院提供的各种选择有积极的反馈，但总体而言，40%的自由文本评论提到了有限的选择。74%的员工表示食品和饮料更昂贵。低收入员工/访客和轮班工人尤其受到选择减少和健康选择价格上涨的影响。
结论：该政策导致新西兰医院食品和饮料的健康状况发生了显著变化，但伴随着人们对价值和选择减少的看法。虽然总体上得到了很好的支持，调查结果表明，改善食品和饮料政策实施的机会(例如，提供更多健康食品选择，更好地与员工接触，并保持健康选择的价格较低），并确认该政策可以扩展到其他公共工作场所。
