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首页> 外文期刊>Journal of public health management and practice: JPHMP >Functional Characteristics of Health Coalitions in Local Public Health Systems: Exploring the Function of County Health Councils in Tennessee
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Functional Characteristics of Health Coalitions in Local Public Health Systems: Exploring the Function of County Health Councils in Tennessee

机译：地方公共卫生系统卫生联盟的功能特征：探讨田纳西县卫生委员会的作用

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Context: Partnerships are emerging as critically important vehicles for addressing health in local communities. Coalitions involving local health departments can be viewed as the embodiment of a local public health system. Although it is known that these networks are heavily involved in assessment and community planning activities, limited studies have evaluated whether health coalitions are functioning at an optimal capacity. Objective: This study assesses the extent to which health coalitions met or exceeded expectations for building functional capacity within their respective networks. Design: An evaluative framework was developed focusing on 8 functional characteristics of coalitions previously identified by Erwin and Mills. Twenty-nine indicators were identified that served as "proxy" measures of functional capacity within health coalitions. Setting and Participants: Ninety-three County Health Councils (CoHCs) in Tennessee. Main Outcome Measure(s): Diverse member representation; formal rules, roles, and procedures; open, frequent interpersonal communication; task-focused climate; council leadership; resources; active member participation; and external linkages were assessed to determine the level of functionality of CoHCs. Scores across all CoHCs were analyzed using descriptive statistics such as frequency distributions, measures of central tendency, and measures of variability. Data were analyzed using SAS 9.3. Results: Of 68 CoHCs (73% response rate), the total mean score for the level of functional characteristics was 30.5 (median = 30.5; SD = 6.3; range, 18-44). Of the 8 functional characteristics, CoHCs met or exceeded all indicators associated with council leadership, tasked-focused climate, and external linkages. Lowest scores were for having a written communications plan, written priorities or goals, and opportunities for training. Conclusion: This study advances the research on health coalitions by establishing a process for quantifying the functionality of health coalitions. Future studies will be conducted to examine the association between health coalition functional capacity, local health departments' community health assessment and planning efforts, and changes in community health status.
机译：背景：伙伴关系是为解决当地社区的卫生而批判性的重要车辆。涉及当地卫生部门的联盟可以被视为当地公共卫生系统的实施例。虽然已知这些网络大量参与评估和社区规划活动，但有限的研究已经评估了卫生联盟是否以最佳的能力运作。目的：本研究评估了卫生联盟在各自网络中建立功能能力的核心联盟或超出期望的程度。设计：开发了一种评价框架，专注于先前由Erwin和Mills识别的联盟的8个功能特征。确定了二十九个指标，该指标担任卫生联盟内的“代理”功能能力的措施。环境与参与者：田纳西州的九十三县卫生委员会（COHCS）。主要成果措施：各种会员代表;正式规则，角色和程序;开放，频繁的人际交往;以任务为中心的气候;理事会领导;资源;积极成员参与;评估外部联系以确定COHCS的功能水平。使用频率分布，中央趋势测量等描述性统计分析所有COHC中的分数，以及可变异测量。使用SAS 9.3分析数据。结果：68个COHCS（响应率为73％），功能特征水平的总平均得分为30.5（中位数= 30.5; SD = 6.3;范围，18-44）。在8个功能特征中，COHCS达到或超过了与理事会领导，专为中心的气候和外部联系相关的所有指标。最低分数用于书面通信计划，书面优先事项或目标以及培训机会。结论：本研究通过建立量化卫生联盟功能的过程来研究卫生联盟的研究。将进行未来的研究，以研究卫生联盟功能能力，当地卫生部门社区健康评估和规划努力的协会，以及社区健康状况的变化。

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