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理解社区协作的结构:以加拿大一个健康促进网络为例。

Understanding the structure of community collaboration: the case of one Canadian health promotion network.

机构信息

Department of Recreation and Leisure Studies, Brock University, 500 Glenridge Road, St Catharines, Ontario, Canada.

出版信息

Health Promot Int. 2010 Jun;25(2):238-47. doi: 10.1093/heapro/daq002. Epub 2010 Feb 27.

Abstract

In 2004, over 6.8 million Canadians were considered overweight, with an additional 2.4 million labeled clinically obese. Due to these escalating levels of obesity in Canada, physical activity is being championed by politicians, physicians, educators and community members as a means to address this health crisis. In doing so, many organizations are being called upon to provide essential physical activity services and programs to combat rising obesity rates. Yet, strategies for achieving these organizations' mandates, which invariably involve stretching already scarce resources, are difficult to implement and sustain. One strategy for improving the health and physical activity levels of people in communities has been the creation of inter-organizational networks of service providers. Yet, little is known about whether networks are effective in addressing policy issues in non-clinical health settings. The purpose of this investigation was 2-fold; to use whole network analysis to determine the structure of one health promotion network in Canada, and to identify the types of ties shared by actors in the health network. Findings revealed a network wherein information sharing constituted the basis for collaboration, whereas efforts related to sharing resources, marketing and/or fundraising endeavors were less evident.

摘要

2004 年,超过 680 万加拿大人被认为超重,另有 240 万人被临床诊断为肥胖。由于加拿大肥胖水平不断上升,政治家、医生、教育工作者和社区成员都倡导将身体活动作为解决这一健康危机的一种手段。在这样做的过程中,许多组织被要求提供必要的身体活动服务和计划,以应对不断上升的肥胖率。然而,实现这些组织的任务的战略,不可避免地涉及到紧张的稀缺资源,很难实施和维持。提高社区居民健康和身体活动水平的一种策略是创建服务提供商之间的组织间网络。然而,对于网络在非临床健康环境中解决政策问题的有效性,人们知之甚少。本研究的目的有两个:一是使用整体网络分析来确定加拿大一个健康促进网络的结构,二是确定健康网络中参与者共享的关系类型。研究结果显示了一个网络,其中信息共享是合作的基础,而与资源共享、营销和/或筹款活动相关的努力则不那么明显。

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