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首页> 外文期刊>Health Education >A multiple-case study of intersectoral collaboration in comprehensive school health promotion using the Diagnosis of Sustainable Collaboration(DISC) model
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A multiple-case study of intersectoral collaboration in comprehensive school health promotion using the Diagnosis of Sustainable Collaboration(DISC) model

机译：利用可持续协作诊断（DISC）模型进行跨部门协作在学校全面健康促进中的多案例研究

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摘要

Purpose - Intersectoral collaboration is often a prerequisite for effective interventions in public health. The purpose of this paper is to assess the facilitating and hindering conditions regarding intersectoral collaboration between health authorities, public health services (PHSs), public services stakeholders (PPSs) and the education sector in comprehensive school health promotion (CSHP) in the Netherlands. Design/methodology/approach - CSHP collaborations in five Dutch regions were studied using a questionnaire based on the Diagnosis of Sustainable Collaboration (DISC) model, focusing on: change management; perceptions, intentions and actions of collaborating parties; project organization; and factors in the wider context. Univariate and multivariate analyses with bootstrapping were applied to 106 respondents (62 percent response). Findings - A similar pattern of facilitating and hindering conditions emerged for the five regions, showing positive perceptions, but fewer positive intentions and actions. An overall favorable internal and external context for collaboration was found, but limited by bureaucratic procedures and prioritizing stakeholders' own organizational goals. Change management was rarely applied. Some differences between sectors emerged, with greatest support for collaboration found among the coordinating organizations (PHSs) and least support among the financing organization (municipalities). Research limitations/implications - The generalization of the findings is limited to the initial formation stage of collaboration, and may be affected by selection bias, small sample size and possible impact of interdepartmental collaboration within organizations. Practical implications - The authors recommend establishing stronger change management to facilitate translation of positive perceptions into intentions and actions, and coordination of divergent organizational structures and orientations among collaborating parties. Originality/value - The results show that it is valuable for collaborating parties to conduct DISC analyses to improve intersectoral collaboration in CSHP.
机译：目的-部门间合作通常是有效干预公共卫生的先决条件。本文的目的是评估荷兰卫生部门，公共卫生服务（PHS），公共服务利益相关方（PPS）和教育部门在学校综合健康促进（CSHP）中进行部门间合作的便利条件和阻碍条件。设计/方法/方法-使用基于可持续协作诊断（DISC）模型的问卷调查了五个荷兰地区的CSHP合作。合作方的看法，意图和行动；项目组织；和更广泛背景下的因素。具有自举的单变量和多变量分析应用于106位受访者（62％的回应）。调查结果-五个地区出现了类似的便利条件和阻碍条件，显示出积极的看法，但积极的意图和行动较少。找到了总体上有利于合作的内部和外部环境，但受到官僚程序和优先考虑利益相关者自身组织目标的限制。变更管理很少应用。部门之间出现了一些差异，其中在协调组织（PHS）之间找到了对协作的最大支持，而在融资组织之间（社区）则得到了最小的支持。研究局限性/含义-研究结果的概括仅限于协作的初始形成阶段，并且可能会受到选择偏见，样本量较小以及组织内部部门间协作的可能影响的影响。实际意义-作者建议建立更强大的变更管理，以促进将积极的观念转化为意图和行动，并在协作方之间协调不同的组织结构和方向。原创性/价值-结果表明，对于进行协作的各方进行DISC分析以改善CSHP中的部门间协作具有重要意义。

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  • 来源
    《Health Education》 |2015年第4期|301-321|共21页
  • 作者

    K.K. Pucher; M.J.J.M. Candel; N.M.W.M. Boot; A.J.A. van Raak; N.K. de Vries;

  • 作者单位

    Department of Health Promotion, Maastricht University, Maastricht, The Netherlands;

    Department of Methodology and Statistics, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands;

    Regional Public Health Service (GGD) South Limburg, Geleen, The Netherlands;

    Department of Health Service Research and School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands;

    Department of Health Promotion, Maastricht University, Maastricht, The Netherlands;

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  • 正文语种 eng
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  • 关键词

    Healthy schools; Management; Collaboration; School health promotion; Public health;

    机译：健康的学校;管理;合作;促进学校健康;公共卫生;

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