确定积极实践,在马拉维卫生系统中制度化社会创新
Lindi van Niekerk1,2, Lenore Manderson3,4, Nedson Fosiko5
1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
International journal of health policy and management
|December 3, 2024
概括
扩大公共卫生创新的规模需要制度化外部解决方案. 强大的人际关系和培养希望等积极的实践在国家卫生系统中促进了这一过程.
科学领域:
- 公共卫生 公共卫生
- 卫生系统创新 卫生系统创新
- 在健康领域的社会创新.
背景情况:
- 政府面临的挑战是将外部公共卫生创新制度化为国家系统.
- 关于成功制度化的实际策略的证据有限.
- 本研究探讨了马拉维Chipatala Cha Pa Foni (电话健康中心) 创新的整合情况.
研究的目的:
- 描述国家卫生系统内社会创新的制度化过程.
- 确定有利于外部创新的整合的积极制度实践.
- 了解国家政府如何有效地扩大公共卫生创新.
主要方法:
- 采用积极导向的,跨学科的,多方法的定性案例研究设计.
- 通过18个月的关键信息人采访,观察和文档分析收集数据.
- 利用一个复合的社会创新框架,以机构理论和积极的组织学术为基础,进行主题分析.
主要成果:
- 确定了积极的机构实践的四个关键集群:建立高质量的关系,创造体验互动机会,培养希望和逻辑调整.
- 这些做法促进了"日常创造力",这对于成功的制度化至关重要.
- 高质量的关系,以尊重和互惠为特征,构成了希望和创新的基础.
结论:
- 机构和人际关系的动态对于成功地将社会创新融入卫生系统至关重要.
- 将实施调整到国家身份和逻辑上,可以提高所有权和可持续性.
- 积极的实践对于扩大和维持公共卫生创新至关重要.
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