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The study examined the role and integration of the built environment in health promotion as perceived and described by representatives of Swedish health promotive healthcare organisations (HPHs).

A majority of Swedish healthcare organisations have implemented health promotion strategies in their plans and actions. These HPHs engage in an ongoing reorientation from a disease focus to a health focus, which includes a person-centred approach that considers people as active participants controlling their own health and care. Swedish HPHs are supported by the Swedish HPH network in introducing health promotion. The HPH network aims are guided by health promotion standards, which indicate the importance of creating health-promoting environments. These aims are confirmed in a letter of intent and membership contract. The aims are also expected to have implications for the planning of healthcare buildings. However, knowledge of the relationship between HPH strategies and the built environment is limited. Additionally, health promotion, when used by building designers, often seems to be reduced to a focus on the enhancement of health. To continue developing health promotion and fulfilling the intentions of the letter of intent as a driver for HPHs, it is important to understand and actively include the built environment in analysis, planning and design.

How do Swedish HPH representatives perceive and describe the relationship between HPHs and the built environment?

An explorative study including both qualitative and quantitative data was carried out. First, data were collected …