Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada.
Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2016 Jun;36(6):101-11. doi: 10.24095/hpcdp.36.6.01.
The Public Health Agency of Canada's Multi-sectoral Partnerships Initiative, administered by the Centre for Chronic Disease Prevention (CCDP), brings together diverse partners to design, implement and advance innovative approaches for improving population health. This article describes the development and initial priorities of an action research project (a learning and improvement strategy) that aims to facilitate continuous improvement of the CCDP's partnership initiative and contribute to the evidence on multi-sectoral partnerships.
The learning and improvement strategy for the CCDP's multi-sectoral partnership initiative was informed by (1) consultations with CCDP staff and senior management, and (2) a review of conceptual frameworks to do with multi-sectoral partnerships. Consultations explored the development of the multi-sectoral initiative, barriers and facilitators to success, and markers of effectiveness. Published and grey literature was reviewed using a systematic search strategy with findings synthesized using a narrative approach.
Consultations and the review highlighted the importance of understanding partnership impacts, developing a shared vision, implementing a shared measurement system and creating opportunities for knowledge exchange. With that in mind, we propose a six-component learning and improvement strategy that involves (1) prioritizing learning needs, (2) mapping needs to evidence, (3) using relevant data collection methods, (4) analyzing and synthesizing data, (5) feeding data back to CCDP staff and teams and (6) taking action. Initial learning needs include investigating partnership reach and the unanticipated effects of multi-sectoral partnerships for individuals, groups, organizations or communities.
While the CCDP is the primary audience for the learning and improvement strategy, it may prove useful for a range of audiences, including other government departments and external organizations interested in capturing and sharing new knowledge generated from multi-sectoral partnerships.
加拿大公共卫生局的多部门伙伴关系倡议由慢性病预防中心（CCDP）管理，汇集了各种不同的合作伙伴，共同设计、实施和推进创新方法，以改善人口健康。本文介绍了一个行动研究项目（一种学习和改进策略）的开发和初步重点，旨在促进 CCDP 伙伴关系倡议的持续改进，并为多部门伙伴关系的证据做出贡献。
CCDP 多部门伙伴关系倡议的学习和改进策略是基于以下两个方面：（1）与 CCDP 工作人员和高级管理人员的磋商；（2）对多部门伙伴关系相关概念框架的审查。磋商探讨了多部门倡议的发展、成功的障碍和促进因素，以及有效性的标志。使用系统的搜索策略对已发表和灰色文献进行了审查，并使用叙述方法对研究结果进行了综合。
磋商和审查强调了了解伙伴关系影响、制定共同愿景、实施共同衡量系统和创造知识交流机会的重要性。考虑到这一点，我们提出了一个由六个部分组成的学习和改进策略，包括：（1）确定学习需求；（2）将需求与证据相匹配；（3）使用相关的数据收集方法；（4）分析和综合数据；（5）将数据反馈给 CCDP 工作人员和团队；（6）采取行动。初步学习需求包括调查伙伴关系的覆盖面以及多部门伙伴关系对个人、群体、组织或社区的意外影响。
虽然 CCDP 是学习和改进策略的主要受众，但它可能对一系列受众有用，包括其他政府部门和对外界组织有兴趣从多部门伙伴关系中获取和分享新知识。
