Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Scand J Public Health. 2011 Mar;39(6 Suppl):26-32. doi: 10.1177/1403494810393559.
Intersectoral collaboration is an important part of many health promotion programmes. The reasons for the local organisations to collaborate, i.e. to finance programmes, are presumably based on benefits they derive from the collaboration. The aim of this study is to discuss whether subsector financial analyses based on data from cost-effectiveness analyses reflect incentives of collaborating organisations in two intersectoral health promotion programmes.
Within economics, financial incentives are important reasons for actions. The financial incentives of collaborators are exemplified with two subsector financial analyses containing avoided disease-related costs as estimated in two cost-effectiveness analyses, on an elderly safety promotion programme (Safe Seniors in Sundbyberg) and on a diabetes prevention programme (Stockholm Diabetes Prevention Program, SDPP) from Stockholm, Sweden.
The subsector financial analyses indicate that there are financial incentives for the key local community organisation, i.e. the local authority, to collaborate in one of the programmes but not the other. There are no financial benefits for other important community organisations, such as non-governmental organisations.
The reasons for collaborating organisations to collaborate within intersectoral health promotion programmes extend beyond financial benefits from averted disease. Thus, the reported subsector financial analyses are only partial reflections of the incentives of collaborators, but they might be used as a starting point for discussions on cost sharing among potential intersectoral collaborators.
跨部门合作是许多健康促进计划的重要组成部分。地方组织合作的原因，即资助项目，可能基于他们从合作中获得的利益。本研究旨在讨论基于成本效益分析数据的子部门财务分析是否反映了两个跨部门健康促进计划中合作组织的激励因素。
在经济学中，经济激励是行动的重要原因。合作者的经济激励通过两个子部门财务分析来举例说明，这两个分析包含了在两项成本效益分析中估算出的避免与疾病相关的成本，一项是在瑞典松兹瓦尔的老年人安全促进计划（Safe Seniors in Sundbyberg），另一项是斯德哥尔摩糖尿病预防计划（Stockholm Diabetes Prevention Program，SDPP）。
子部门财务分析表明，对于一个关键的地方社区组织，即地方当局来说，在其中一个项目中有经济激励进行合作，但在另一个项目中则没有。对于其他重要的社区组织，如非政府组织，没有经济利益。
跨部门健康促进计划中合作组织合作的原因超出了从疾病预防中获得的经济利益。因此，报告的子部门财务分析只是对合作者激励因素的部分反映，但可以作为潜在跨部门合作者之间成本分担讨论的起点。
