A Sense of Community, a Shared Vision and a Positive Culture: Core Enabling Factors in Successful Culture Based Health Promotion

A Sense of Community, a Shared Vision and a Positive Culture: Core Enabling Factors in Successful Culture Based Health Promotion
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社区意识、共同愿景和积极文化:基于文化的健康促进成功的核心促成因素

DOI:
10.4278/0890-1171-1.3.40
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发表时间:
1986
影响因子:
2.7
通讯作者:
J. Allen
J. Allen
中科院分区:
医学4区
文献类型:
--
作者:
R. F. Allen;J. Allen

文献摘要

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Judd Allen 博士是新泽西州莫里斯敦人力资源研究所的副院长、康奈尔大学医学院的临床讲师以及纽约州纪念斯隆-凯特琳癌症中心癌症控制部门的高级研究分析师。正如之前对文化变革方法的评论所指出的,此类计划需要大量组织成员的持续承诺。 4 系统性文化变革不仅仅是定期随机提供的服务,例如健康危害评估、研讨会、打包研讨会或促销传单。文化变革需要对奖励、社会认可、培训、导向、沟通和信息系统等文化影响机制进行全面、系统和持续的修改。人们发现,关键因素对于对这些机制和系统进行和维持修订以及改变与之相关的健康文化和健康行为非常重要。本文讨论了三个促成因素——共同的愿景、积极的文化和社区意识——人们发现这些因素是成功的文化变革努力产生的大部分活力的原因。
Judd Allen, Ph.D., is Vice President of the Human Resources Institute, Morristown, New Jersey, Clinical Instructor at Cornell University Medical College, and Senior Research Analyst of the Division of Cancer Control, Memorial Sloan-Kettering Cancer Center, New York, New York. As has been pointed out in previous reviews of culture change approaches, such programs require the continuing commitment of a significant number of organizational members.’4 Systematic culture change is more than periodic random offerings such as a health hazard appraisal, a workshop, a packaged sen~inar, or a promotional flier. Culture change requires a comprehensive systematized and continuing revision of cultural influence mechanisms such as rewards, social recognition, training, orientation, communication, and information systems. Key factors have been found to be highly important in bringing about and sustaining revisions in these mechanisms and systems and in order to modify health cultures and health behaviors related to them. This article discusses three enabling factors -a shared vision, a positive culture and a sense of community -which have been found to account for much of the vitality generated through successful culture change efforts.