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首页> 外文期刊>International Journal of Integrated Care >Mental health network governance and coordination: comparative analysis across Canadian regions
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Mental health network governance and coordination: comparative analysis across Canadian regions

机译：精神卫生网络的治理与协调：加拿大各地区的比较分析

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Objective : Modes of governance were compared in ten local mental health networks in diverse contexts (rural/urban and regionalizedon-regionalized) to clarify the governance processes that foster inter-organizational collaboration and the conditions that support them. Methods : Case studies of ten local mental health networks were developed using qualitative methods of document review, semi-structured interviews and focus groups that incorporated provincial policy, network and organizational levels of analysis. Results : Mental health networks adopted either a corporate structure, mutual adjustment or an alliance governance model. A corporate structure supported by regionalization offered the most direct means for local governance to attain inter-organizational collaboration. The likelihood that networks with an alliance model developed coordination processes depended on the presence of the following conditions: a moderate number of organizations, goal consensus and trust among the organizations, and network-level competencies. In the small and mid-sized urban networks where these conditions were met their alliance realized the inter-organizational collaboration sought. In the large urban and rural networks where these conditions were not met, externally brokered forms of network governance were required to support alliance based models. Discussion : In metropolitan and rural networks with such shared forms of network governance as an alliance or voluntary mutual adjustment, external mediation by a regional or provincial authority was an important lever to foster inter-organizational collaboration.
机译：目的：在十个地方精神卫生网络（农村/城市和区域化/非区域化）中对十个地方精神卫生网络的治理模式进行了比较，以阐明促进组织间合作的治理过程及其支持条件。方法：使用定性的文献审查，半结构化访谈和结合了省级政策，网络和组织分析水平的焦点小组，对十个当地精神卫生网络进行了案例研究。结果：精神卫生网络采用公司结构，相互调整或联盟治理模型。区域化支持的公司结构为地方治理获得组织间协作提供了最直接的手段。具有联盟模型的网络发展协调过程的可能性取决于以下条件的存在：组织数量适中，组织之间的目标共识和信任以及网络级能力。在满足这些条件的中小型城市网络中，他们的联盟意识到了组织间的协作。在不满足这些条件的大型城乡网络中，需要外部代理形式的网络治理来支持基于联盟的模型。讨论：在具有共享的网络治理形式（如联盟或自愿相互调整）的都市和农村网络中，区域或省级机构的外部调解是促进组织间协作的重要手段。

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