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There is agreement in the literature that the work of national / regional networks and member hospitals of the International Network of Health Promoting Hospitals and Health Services (HPH) is under-documented and lacking systematic description and evaluation. A reaction to this deficit was PRICES-HPH (Project on a Retrospective, Interna- tionally Comparative Evaluation Study). Methods This paper presents the PRICES-HPH evaluation model which was developed for theoretical guidance of the study. It includes capacity building efforts of networks and hospitals in form of specific infrastructures, resources and strategies. 35 national/ regional networks were invited to fill in a comprehensive online questionnaire for networks, and 529 member hospitals to fill in a hospital questionnaire. The network and hospital coordinators reported the data retrospectively. The outcomes were the degree of implementation of HPH strategies and to which degree participation in HPH had strengthened this implementation. Results The response rate was 80% for networks and 34% for hospital members. There was a pronounced variety in both the degree of implementation and the degree of perceived strengthening - both for specific HPH strategies and for member hospitals belonging to different networks. Most of the responding hospitals had implemented at least some of the HPH standards and strategies. About half had perceived that the implementation was strengthened by participation in HPH. Conclusion Overall, the national / regional HPH networks and their member hospitals have implemented HPH strate- gies to a substantial degree and they see participation in HPH networks as a relevant influence for that purpose. The extents varied by type of HPH strategy and by affiliation to networks.

A model and selected results from an evaluation study on the International HPH Network (PRICES-HPH)