LaPelle Nancy R, Zapka Jane, Ockene Judith K
Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. nancy.
Am J Public Health. 2006 Aug;96(8):1363-9. doi: 10.2105/AJPH.2005.067124. Epub 2006 Jun 29.
Sustaining important public or grant-funded services after initial funding is terminated is a major public health challenge. We investigated whether tobacco treatment services previously funded within a statewide tobacco control initiative could be sustained after state funding was terminated abruptly. We found that 2 key strategies-redefining the scope of services being offered and creative use of resources-were factors that determined whether some community agencies were able to sustain services at a much higher level than others after funding was discontinued. Understanding these strategies and developing them at a time when program funding is not being threatened is likely to increase program sustainability.
在初始资金终止后维持重要的公共或资助服务是一项重大的公共卫生挑战。我们调查了先前在全州烟草控制倡议中获得资助的烟草治疗服务在州资金突然终止后是否能够维持。我们发现，两个关键策略——重新定义所提供服务的范围和创造性地利用资源——是决定一些社区机构在资金停止后能否比其他机构维持更高水平服务的因素。在项目资金没有受到威胁的时候理解并发展这些策略可能会提高项目的可持续性。
