Lasker R D, Weiss E S, Miller R
Center for Advancement of Collaborative Strategies in Health, New York Academy of Medicine, New YOrk 10029-5293, USA.
Educ Health (Abingdon). 2001;14(2):163-72. doi: 10.1080/13576280110051046.
There is growing interest and investment in health-related collaboration in the United States. In an environment characterized by increasingly complex health problems, substantial resource constraints, and a fragmented health system, public and private organizations as well as communities are recognizing that most objectives related to health and health care cannot be achieved by any single person or organization working alone. Partnerships that bring together diverse people and organizations have the potential for developing new and creative ways of dealing with today's turbulent environment. Despite its potential advantages, collaboration also presents daunting challenges. Further, documenting the effectiveness of partnerships in improving health and well-being has been difficult. Given the significant difficulties of collaboration and the lack of evidence of its effectiveness, questioning whether the investment in health partnerships is justified seems reasonable. In this paper we address this question by illustrating the connective power of collaboration. We describe how collaboration, by connecting individual-level services, broadening community involvement in population-based health strategies, and linking individual-level services and population-based strategies, can improve the health of communities. We then discuss activities that could assist partnerships in reaching their collaborative potential and conclude by presenting the most compelling reasons for pursuing collaboration.
在美国,与健康相关的合作正引发越来越多的关注并吸引着投资。在一个以日益复杂的健康问题、大量资源限制以及碎片化的卫生系统为特征的环境中,公共和私人组织以及社区都认识到,与健康和医疗保健相关的大多数目标,任何一个人或组织单独行动都无法实现。汇聚不同人群和组织的伙伴关系有潜力开发出新的、创造性的方式来应对当今动荡的环境。尽管有潜在优势,但合作也带来了艰巨的挑战。此外,记录伙伴关系在改善健康和福祉方面的有效性一直很困难。鉴于合作存在重大困难且缺乏其有效性的证据,质疑对健康伙伴关系的投资是否合理似乎是有道理的。在本文中,我们通过阐述合作的连接力量来回答这个问题。我们描述了合作如何通过连接个人层面的服务、扩大社区对基于人群的健康策略的参与,以及将个人层面的服务与基于人群的策略联系起来,从而改善社区健康。然后,我们讨论了有助于伙伴关系发挥其合作潜力的活动,并通过阐述开展合作的最有说服力的理由来得出结论。