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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
Summary

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.

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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.