Sustainability of collaborative capacity in community health partnerships
Sustainability of collaborative capacity in community health partnerships
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DOI：
10.1177/1077558703259069
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发表时间：
2003-12-01
影响因子：
2.5
通讯作者：
Conrad, DA
中科院分区：
文献类型：
--
作者：
Alexander, JA;Weiner, BJ;Conrad, DA
可持续性是伙伴关系成功的关键要求，也是这类组织面临的主要挑战。尽管可持续性对社区卫生伙伴关系的成功至关重要，而且可持续性面临许多威胁，但几乎没有证据表明可以为伙伴关系提供关于长期可行性的明确指导。本文试图(1)建立一个社区卫生伙伴关系可持续性的概念模型；(2)利用来自社区护理网络（CCN）示范项目的四个伙伴关系的比较定性数据，确定可持续性的潜在决定因素。基于对CCN评估的定性数据的理论检验，作者假设伙伴关系有五个主要属性/活动，导致相应的价值并最终导致协作能力的可持续性。它们包括以结果为基础的宣传、以愿景为重点的平衡、系统导向、基础设施发展和社区联系。合伙经营的环境为确定与在合伙经营中创造相应价值有关的每个因素的适当性和相对影响提供了条件。
Sustainability is a key requirement for partnership success and a major challenge for such organizations. Despite the critical importance of sustainability to the success of community health partnerships and the many threats to sustainability, there is little evidence that would provide partnerships with clear guidance on long-term viability. This article attempts to (1) develop a conceptual model of sustainability in community health partnerships and (2) identify potential determinants of sustainability using comparative qualitative data from four partnerships from the Community Care Network (CCN) Demonstration Program. Based on a grounded theory examination of qualitative data from the CCN evaluation, the authors hypothesize that there are five primary attributes/activities of partnerships leading to consequential value and eventually to sustainability of collaborative capacity. They include outcomes-based advocacy, vision-focus balance, Systems orientation, infrastructure development, and community linkages. The context in which the partnership operates provides the conditions for determining the appropriateness and relative impact of each of the factors related to creating consequential value in the partnership.