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Health promotion teams' effectiveness: a structural perspective from Israel
Anat Drach-Zahavy1, Orna Baron-Epel
1The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Mount Carmel 31905, Israel. anatdz@research.haifa.ac.il
Health Promotion International
|May 26, 2006
Summary
Flexible coalition structures enhance engagement in health promotion strategies and improve effectiveness. A more fluid, permeable approach with external professionals boosts multi-strategy work and health promotion outcomes.
Area of Science:
- Public Health
- Health Promotion
- Organizational Studies
Background:
- Coalition effectiveness in health promotion is crucial for community well-being.
- Understanding optimal coalition structures is key to maximizing engagement and impact.
- Previous research often views coalitions as static entities, overlooking structural dynamics.
Purpose of the Study:
- To investigate how coalition structure influences engagement in multiple health promotion strategies.
- To determine the impact of structural variables on coalition effectiveness.
- To explore the role of heterogeneity, configuration, and external collaborations in health promotion coalitions.
Main Methods:
- Cross-sectional survey design with 37 health promotion coalition coordinators in Israel.
- Multimethod data collection: semistructured interviews, self-reported questionnaires, and administrative data.
- Assessment of coalition effectiveness and engagement in multistrategies through coordinator self-reports and interviews.
Main Results:
- Homogeneous, bounded structures supported health education program implementation.
- Flexible coalition configurations and frequent use of external professionals enhanced multistrategy engagement and effectiveness.
- External professionals promoted environmental health actions but did not increase community empowerment.
Conclusions:
- Coalitions benefit from fluid, permeable structures that interact with the external environment.
- Structural considerations are vital for effective coalition management in health promotion.
- Balancing structural flexibility with potential costs is essential for optimizing coalition outcomes.
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