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Related Experiment Videos

Program sustainability: focus on organizational routines.

P Pluye1, L Potvin, J L Denis

  • 1Department of Social Studies of Medicine, McGill University, 3647 Peel Street, Montreal, Quebec, H3A 1X1, Canada. pierre.pluye@mail.mcgill.ca

Health Promotion International
|November 3, 2004
PubMed
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Program sustainability in health promotion requires refining the concept of routinization. This study defines routinized activities by four characteristics and identifies four degrees of sustainability, emphasizing routinization for long-term program success.

Area of Science:

  • Health Promotion
  • Organizational Studies
  • Public Health

Background:

  • Program sustainability is a critical challenge in health promotion.
  • Existing notions of sustainability, particularly routinization, require deeper examination.
  • Organizational routines are key to understanding sustained program activities.

Purpose of the Study:

  • To refine the concept of sustainability in organizations.
  • To assess organizational routines and their role in program sustainability.
  • To empirically investigate the routinization of a health promotion project.

Main Methods:

  • A multiple-case study approach was employed.
  • Data collection involved document analysis and interviews with project actors.

Related Experiment Videos

  • Observed activities of the Quebec Heart Health Demonstration Project in five community health centers.

    • Main Results:

    • Activities varied in their degree of routinization across the five centers.
    • One center showed no official commitment but informal continuation of activities.
    • Three centers demonstrated activities satisfying all four characteristics of organizational routines (memory, adaptation, values, rules).

    Conclusions:

    • Program sustainability should be studied through the lens of activity routinization.
    • Four distinct degrees of sustainability were identified: absence, precarious, weak, and sustainability through routinization.
    • Routinization, characterized by memory, adaptation, values, and rules, is crucial for achieving robust program sustainability.