Identifying Factors Influencing a Hospital's Decision to Adopt a Farm-to-Hospital Program

Smith, Bobby J.; Kaiser, Harry M.; Gómez, Miguel I.

doi:10.1017/s1068280500004962

Cited by 6 publications

(19 citation statements)

References 9 publications

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“…As noted previously, Smith, Kaiser, and Gómez (2013) found that research on the adoption of farm to hospital programs was "extremely limited" and "nearly nonexistent" (p. 38). Further, they noted that independent factors that might influence a hospital's decision to adopt local food programs have not been explored.…”

Section: Discussionmentioning

confidence: 85%

“…In addition, Kaiser Permanente (2013), The Nation (Klein, 2012), and numerous other articles and news reports have covered the phenomenon. However, these popular media articles and informally published reports are backed up by very few articles from scientific peerreviewed journals (Clancy, 2013;Ritchie & Chen, 2011;Smith, Kaiser, & Gómez, 2013). Of those that were available, most were very small and geographically concentrated.…”

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confidence: 99%

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Print E-mail Potential of Local Food Use in the Ohio Health Care Industry: An Exploratory Study

Raison¹,

Scheer

2015

JAFSCD

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Institutionalized foodservice in health care is evolving. Some hospitals have introduced local foods as a means of improving health and wellness. Investigation into the hospital foodservice literature, however, leaves unclear what percentage of hospitals actually participate in procuring, serving, or promoting local foods to patients and employees. We investigated the factors that contributed to hospitals purchasing or not purchasing local foods for their operations. A census of Ohio hospital

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Section: Discussionmentioning

confidence: 85%

mentioning

confidence: 99%

Print E-mail Potential of Local Food Use in the Ohio Health Care Industry: An Exploratory Study

Raison¹,

Scheer

2015

JAFSCD

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“…Table 2 provides a summary of the study characteristics of the included studies, all of which were published between 2011 and 2018. Most studies (seven out of nine) were conducted in the United States 11,23–27,29 . Most studies (seven out of nine) involved a qualitative research design ( n = 7), 11,23,24,26–29 whereas two papers described case‐study evaluations 25,30 .…”

Section: Resultsmentioning

confidence: 99%

Local food procurement by hospitals: a scoping review

Faulkner

Collins

Gilbertson

et al. 2023

J Human Nutrition Diet

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BackgroundLocal food procurement by hospitals is gaining traction as governments and advocacy groups seek to influence food systems and strengthen local communities, but there is little empirical evidence as to its practical application or efficacy. The aims of this review were to describe the extent, range and nature of local food procurement models in healthcare foodservices, and to understand the barriers and enablers to implementation, including from the perspective of stakeholders across the supply chain.MethodA scoping review was conducted following the protocol published in the Open Science Framework Registration (DOI: 10.17605/OSF.IO/T3AX2). Five electronic databases were searched for the following concepts: ‘hospital foodservice’, ‘local food procurement practices’, ‘the extent, range and nature’ and/or ‘the barriers and enablers of procurement’. Eligible peer‐reviewed original research published in English from the year 2000 was included following a two‐step selection process.ResultsThe final library included nine studies. Most studies (7 of 9) were from the United States. Three studies used survey methods and reported high rates (58%–91%) of US hospital participation in local food procurement. Studies offered minimal description of local procurement models, but two models, conventional (‘on‐contract’) or off‐contract, were typically used. Barriers to local food procurement included restricted access to suitable local food supply, limited kitchen resources and inadequate technology to trace local food purchase thereby limiting evaluation capabilities. Enablers included organisational support, passionate champions and opportunistic, incremental change.ConclusionThere is a paucity of peer‐reviewed studies describing local food procurement by hospitals. Details of local food procurement models were generally lacking: categorisable as either purchases made ‘on‐contract’ via conventional means or ‘off‐contract’. If hospital foodservices are to increase their local food procurement, they require access to a suitable, reliable and traceable supply, that acknowledges their complexity and budgetary constraints.

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“…A variety of factors motivate institutions to purchase directly from SFV farms. For many institutions, buying direct from an SFV farm is thought to offer benefits, such as supporting the viability of the local agricultural sector, offering social connections and economic support for the community, and providing perceived environment and sustainability benefits (Martinez et al, 2010; Smith et al, 2013; HWH, 2017). In terms of health, two characteristics of nutrition available from produce support a model of local sourcing.…”

Section: Overview Of the Small-farm To Institution Marketing Channelmentioning

confidence: 99%

Linking small fruit and vegetable farmers and institutional foodservice operations: marketing challenges and considerations

Boys

Fraser

2018

Renew. Agric. Food Syst.

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The centralized nature of the United States food production, processing and distribution system makes it difficult for small fruit and vegetable farmers to serve as suppliers to institutional foodservice operations (IFOs), such as schools and hospitals. Due to age, economic and/or health status, it is often the clients of these foodservice operations who would benefit from increasing their consumption of locally grown fruits and vegetables. Unfortunately, institutions are often limited in their resources and food preparation infrastructure, and lack market-based incentives to incorporate locally grown foods into their menus. This study identifies and suggests solutions to barriers that limit the ability of small fruit and vegetable farmers to serve as suppliers to IFOs. Data were collected through an extensive series of focus group meetings held with small-scale fruit and vegetable farmers in three South-Atlantic states. From these meetings, practical marketing considerations, such as payment terms, and processing, packaging and delivery requirements of supplying institutional foodservice buyers, were identified as obstacles to the efficient function of this market channel. Food safety challenges, including the related issues of obtaining (food) products liability insurance and food safety certifications, were also acknowledged among top concerns. A majority of the identified challenges were similar to those reported in other studies, but several were complicated by characteristics of farm production, limited food system infrastructure and marketing experiences in the study region. Several practical solutions to overcoming some of these marketing constraints are offered.

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Identifying Factors Influencing a Hospital's Decision to Adopt a Farm-to-Hospital Program

Cited by 6 publications

References 9 publications

Print E-mail Potential of Local Food Use in the Ohio Health Care Industry: An Exploratory Study

Print E-mail Potential of Local Food Use in the Ohio Health Care Industry: An Exploratory Study

Local food procurement by hospitals: a scoping review

Linking small fruit and vegetable farmers and institutional foodservice operations: marketing challenges and considerations

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