Développement Desindividus et des Communautés, Institut National de Santé Publique du Québec, Quebec, Canada.
Health Promot Int. 2010 Dec;25(4):435-43. doi: 10.1093/heapro/daq040. Epub 2010 Jun 5.
This paper focuses on dissemination of the healthy schools (HS) approach in the province of Quebec, Canada. Dissemination aims at raising awareness about HS and promoting its adhesion among actors concerned with youth health in school. As HS is a joint initiative based on agreement and collaboration between health and educational sectors, the positions of stakeholders that foster cooperation between these sectors were considered to be critical to optimize its dissemination. The study's objectives were to: (i) examine and contrast the stakeholders' conceptions of HS and (ii) understand how converging and diverging stakeholders' positions on HS favourably or negatively influence its dissemination in Quebec. Gray's analytical approach to collaboration and its focus on stakeholders' mindframe about a domain served as a conceptual lens to examine stakeholders' positions regarding HS. Collection methods included documentary analysis and semi-structured interviews of 34 key internal and external informants at the provincial, regional and local levels. The results showed consensual adhesion to fundamental principles of the HS approach. However, differences in conceptualization between provincial authorities of the two sectors concerning the way to disseminate HS have been observed. These differences represented a significant barrier to HS optimal dissemination. A dialogue between the two authorities appears to be essential to arrive at a negotiated and shared conceptualization of this issue in the Quebec context, thus allowing agreements for adequate support. The results may serve as the basis for a more fruitful dialogue between actors from the two sectors, at different administrative levels.
本文聚焦于加拿大魁北克省健康学校（HS）方法的传播。传播旨在提高对 HS 的认识，并促进与学校青年健康相关的利益相关者对其的认可。由于 HS 是一项基于卫生和教育部门之间的协议和合作的联合倡议，因此促进这些部门之间合作的利益相关者的立场被认为对于优化其传播至关重要。该研究的目的是：（i）检查和对比利益相关者对 HS 的概念理解；（ii）了解 HS 上趋同和分歧的利益相关者立场如何有利或不利地影响其在魁北克的传播。格雷（Gray）关于合作的分析方法及其对利益相关者对某一领域看法的关注，为研究利益相关者对 HS 的立场提供了一个概念视角。收集方法包括对省、地区和地方各级 34 名内部和外部主要利益相关者的文件分析和半结构化访谈。结果表明，对 HS 方法的基本原则存在一致的认可。然而，在省级卫生和教育部门的两个部门之间，对于如何传播 HS 的概念化存在差异。这些差异代表了 HS 最佳传播的重大障碍。两个部门之间的对话似乎是至关重要的，以在魁北克的背景下就这个问题达成协商一致和共同的概念化，从而为适当的支持达成协议。研究结果可作为两个部门在不同行政级别上的行为者之间更富有成效的对话的基础。
