导航一个协作,全系统公共卫生计划的复杂性:从ActEarly City协作实验室的纵向定性评估中学习
Laura Nixon1, Laura Sheard2, Jessica Sheringham3
1Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom. l.s.nixon@qmul.ac.uk.
有效的人口健康研究需要清晰,统一,灵活和可行性. 这些机制对于跨部门的合作和导航复杂的系统来改善儿童健康结果至关重要.
科学领域:
- 公共卫生研究 公共卫生研究
- 系统科学 系统科学
- 健康 公平 卫生 公平
背景情况:
- 解决健康的上游社会决定因素对于减少非传染性疾病至关重要.
- 全系统的协作是必不可少的,但跨部门和学科的挑战.
- 该ActEarly联盟的目标是通过跨学科,跨城市的合作伙伴关系来改善儿童健康.
研究的目的:
- 探索ActEarly在复杂性导航方面的经验.
- 确定支持实施人口健康联盟的机制.
- 为未来的跨部门和跨学科合作提出建议.
主要方法:
- 关于ActEarly联盟的长度定性研究.
- 分析了114份内部文件 (会议记录,报告).
- 在三个时间点 (2018年,2021年,2023年) 采访了45名财团成员.
主要成果:
- 明确性,统一性,灵活性和可行性是关键的实施机制.
- 清晰的目标,治理和沟通管理系统的不确定性.
- 强大的关系,共同的愿景和资源获取促进了合作.
- 适应性和可行的目标对于在系统约束范围内交付项目至关重要.
结论:
- 实施复杂的人口健康计划是具有挑战性的.
- 未来的财团应该整合清晰度,统一性,灵活性和可行性.
- 代反思和强有力的领导/治理对于在不确定性中取得成功至关重要.
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