Goodman Robert M, Seaver Margaret R, Yoo Seunghyun, Dibble Suzanne, Shada Rachel, Sherman Bonnie, Urmston Farley, Milliken Nancy, Freund Karen M
Department of Community Health Sciences, School of Public Health and Tropical Medicine, Tulane/Xavier Universities, New Orleans, Louisiana, USA.
Womens Health Issues. 2002 Nov-Dec;12(6):291-308. doi: 10.1016/s1049-3867(02)00153-6.
A qualitative evaluation was conducted at 15 nationally designated Centers of Excellence in Women's Health (CoEs) that were funded by the U.S. Department of Health and Human Services' (DHHS) Office on Women's Health at the time of data collection. The evaluation focused on organizational issues including: 1) the impact of CoE designation on the recipient institutions; 2) the greatest strengths and challenges affecting the CoEs and their core components of research, clinical care, professional education, leadership, and community outreach; and 3) whether the core components developed an interface and coordinated with one another as intended according to the DHHS national model. A total of 91 individuals were interviewed for the evaluation. The study indicates that the national designation served to legitimize and expand the scope of women's health within the recipient institutions. The CoEs enhanced collaboration among researchers and practitioners, and were able to leverage additional resources. The core components largely were successful at interfacing in accordance with the national model. Notwithstanding these successes, the CoEs remain susceptible to failure if they do not gain additional support for the concept of women's health within the recipient institutions, and will not remain durable without additional and stable funding sources.
在数据收集时,对15个由美国卫生与公众服务部(DHHS)妇女健康办公室资助的全国指定妇女健康卓越中心(CoEs)进行了定性评估。评估重点关注组织问题,包括:1)卓越中心指定对受援机构的影响;2)影响卓越中心及其研究、临床护理、专业教育、领导力和社区外展等核心组成部分的最大优势和挑战;3)核心组成部分是否按照DHHS国家模式的预期形成了接口并相互协调。共有91人接受了评估访谈。研究表明,全国指定有助于使受援机构内妇女健康的范围合法化并扩大。卓越中心加强了研究人员和从业者之间的合作,并能够利用额外资源。核心组成部分在很大程度上成功地按照国家模式进行了对接。尽管取得了这些成功,但如果卓越中心在受援机构内得不到对妇女健康概念的更多支持,它们仍然容易失败,而且没有额外的稳定资金来源就无法持久。