Partnership lessons from the Global Programme for Health Promotion Effectiveness: a case study
Partnership lessons from the Global Programme for Health Promotion Effectiveness: a case study
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DOI：
10.1093/heapro/dan029
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发表时间：
2008-12-01
影响因子：
2.7
通讯作者：
Mittelmark, Maurice B.
中科院分区：
文献类型：
--
作者：
Corbin, J. Hope;Mittelmark, Maurice B.
促进健康的一个信条是，各行为体孤立地开展工作是无法成功应对健康挑战的。通过合作产生的协同作用被视为至关重要。然而，合作是艰巨的，许多合作在目标实现之前就消失了。需要进行研究，以确定促进和抑制产生协同成果的因素和进程。为此，对全球健康促进有效性方案进行了一项个案研究。健康促进全球小组审查和传播健康促进工作有效性的证据。对20名GPHPE参与者进行了访谈，转录和分析，GPHPE文件提供了额外的数据。研究结果被用来发展协作功能的卑尔根模型。这是一个建立在早期研究基础上的系统模型（输入、吞吐量、输出），增加了本研究结果所建议的三个新要素。首先，伙伴关系的使命-传播有效性的证据-被确定为一项重要投入（与伙伴资源和融资的传统投入一起），从根本上影响到全球公共卫生促进方案的运作。第二，确定了积极和消极的互动周期，这些周期同时加强和削弱了全球和平促进方案自我维持和产生预期成果的能力。第三，除了协同作用和附加结果之外，还引入了“协同效应”这一概念，作为一种独特的产出类型，代表了不想要的和令人不安的结果。该模型的构建具有广泛的适用性，目前正在进行的进一步研究测试其在地方和国家合作研究中的效用。
It is an article of faith in health promotion that health challenges cannot be confronted successfully by actors working in isolation. The synergy produced through collaboration is seen as vital. Yet, collaboration is arduous and many collaborations fade before their goals are met. Research is needed to identify factors and processes that promote as well as inhibit the production of synergistic outcomes. To this end, a case study was undertaken of the Global Programme for Health Promotion Effectiveness (GPHPE). The GPHPE reviews and disseminates evidence for the effectiveness of health promotion. Interviews with 20 GPHPE participants were conducted, transcribed and analyzed, and GPHPE documentation provided additional data. The results were used to develop the Bergen Model of Collaborative Functioning. It is a systems model (input, throughput, output) building on earlier research, that adds three new elements suggested by the findings of this study. First, the partnership's mission -- to disseminate evidence of effectiveness -- was identified as a significant input (alongside the conventional inputs of partner resources and financing) that affected the GPHPE's functioning in fundamental ways. Second, positive and negative cycles of interaction were identified that simultaneously strengthened and weakened the GPHPE's ability to sustain itself and produce the desired outcomes. Third, the construct 'antagony' was introduced as a unique type of output, in addition to synergy and additive results, representing unwanted and disturbing outcomes. The Model is constructed to have wide applicability, and further research now underway tests its utility in the study of local and national collaborations.