Shortell Stephen M, Zukoski Ann P, Alexander Jeffrey A, Bazzoli Gloria J, Conrad Douglas A, Hasnain-Wynia Romana, Sofaer Shoshanna, Chan Benjamin Y, Casey Elizabeth, Margolin Frances S
School of Public Health, University of California, Berkeley, USA.
J Health Polit Policy Law. 2002 Feb;27(1):49-91. doi: 10.1215/03616878-27-1-49.
Private-public partnerships are increasingly seen as an important mechanism for improving community health. Despite their popularity, traditional evaluations of these efforts have produced negative or mixed results. This is often attributed to weak interventions or an insufficient period of time to observe an impact. This study examines two additional possibilities--the need for a well-articulated shared vision and the governance and management capabilities of the partnership itself. We conducted a midstream process evaluation of twenty-five community partnerships associated with the Community Care Network (CCN) Demonstration Program. We examined how the roles of a common shared vision, strong governance, and effective management influence a partnership's ability to achieve its objectives. The findings, based on both qualitative and quantitative analyses, underscore the importance of membership organizations' perceived benefits and costs of participation and management capabilities to the partnership's progress toward a vision. Based on the qualitative data, six key governance and management characteristics are identified that separate the top performing partnerships from the lowest performing ones. We explore the implications of this research for future evaluations of public-private community health partnerships.
公私伙伴关系日益被视为改善社区健康的重要机制。尽管它们很受欢迎，但对这些努力的传统评估结果却喜忧参半或不尽人意。这通常归因于干预措施不力或观察影响的时间不足。本研究探讨了另外两种可能性——需要一个明确阐述的共同愿景以及伙伴关系本身的治理和管理能力。我们对与社区护理网络（CCN）示范项目相关的25个社区伙伴关系进行了中期过程评估。我们研究了共同愿景、强有力的治理和有效管理的作用如何影响伙伴关系实现其目标的能力。基于定性和定量分析的结果强调了成员组织对参与的感知利益和成本以及管理能力对伙伴关系朝着愿景前进的重要性。基于定性数据，确定了六个关键的治理和管理特征，这些特征将表现最佳的伙伴关系与表现最差的伙伴关系区分开来。我们探讨了这项研究对未来公私社区健康伙伴关系评估的意义。
