Flood Johnna, Minkler Meredith, Hennessey Lavery Susana, Estrada Jessica, Falbe Jennifer
CommunityWise, Oakland, CA, USA.
University of California, Berkeley, CA, USA
Health Educ Behav. 2015 Oct;42(5):654-68. doi: 10.1177/1090198115577372. Epub 2015 Mar 25.
As resources for health promotion become more constricted, it is increasingly important to collaborate across sectors, including the private sector. Although many excellent models for cross-sector collaboration have shown promise in the health field, collective impact (CI), an emerging model for creating larger scale change, has yet to receive much study. Complementing earlier collaboration approaches, CI has five core tenets: a shared agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and a central infrastructure. In this article, we describe the CI model and its key dimensions and constructs. We briefly compare CI to community coalition action theory and discuss our use of the latter to provide needed detail as we apply CI in a critical case study analysis of the Tenderloin Healthy Corner Store Coalition in San Francisco, California. Using Yin's multimethod approach, we illustrate how CI strategies, augmented by the community coalition action theory, are being used, and with what successes or challenges, to help affect community- and policy-level change to reduce tobacco and alcohol advertising and sales, while improving healthy, affordable, and sustainable food access. We discuss the strengths and weaknesses of CI as a framework for health promotion, as well as the benefits, challenges, and initial outcomes of the healthy retail project and its opportunities for scale-up. Implications for health promotion practice and research also are discussed.
随着用于健康促进的资源愈发紧张，跨部门合作变得越发重要，其中包括与私营部门的合作。尽管许多出色的跨部门合作模式已在健康领域展现出前景，但集体影响（CI）作为一种旨在促成更大规模变革的新兴模式，尚未得到充分研究。作为对早期合作方法的补充，集体影响有五个核心原则：共同议程、共享测量系统、相互强化的活动、持续沟通以及核心基础设施。在本文中，我们描述了集体影响模式及其关键维度和构成要素。我们简要地将集体影响与社区联盟行动理论进行比较，并讨论在对加利福尼亚州旧金山田德隆区健康街角商店联盟的关键案例研究分析中，我们如何运用后者来提供所需细节并应用集体影响模式。运用尹的多方法途径，我们阐述了集体影响策略如何在社区联盟行动理论的辅助下得以运用，以及取得了哪些成功或面临哪些挑战，以帮助实现社区层面和政策层面的变革，减少烟草和酒精广告及销售，同时改善健康、实惠且可持续的食品供应。我们讨论了集体影响作为健康促进框架的优势与劣势，以及健康零售项目的益处、挑战和初步成果，还有其扩大规模的机遇。此外，还讨论了对健康促进实践和研究的启示。
