Jones Jacky, Barry Margaret M
1. Galway, Republic of Ireland.
2. World Health Organization Collaborating Centre for Health Promotion Research, NUI, Galway, Republic of Ireland.
Glob Health Promot. 2018 Jun;25(2):16-24. doi: 10.1177/1757975916656364. Epub 2016 Jul 27.
Partnerships between sectors can achieve better outcomes than can be achieved by individual partners working alone. Trust is necessary for partnerships to function effectively. Mistrust makes partnership working difficult, if not impossible. There has been little research into partnership functioning factors that influence trust and mistrust. This study aimed to identify these factors in health promotion partnerships. Data were collected from 337 partners in 40 health promotion partnerships using a postal survey. The questionnaire incorporated multi-dimensional scales designed to assess the contribution of factors that influence partnership trust and mistrust. Newly validated scales were developed for trust, mistrust and power. Multiple regression analysis was used to identify the significance of each factor to partnership trust and mistrust. Power was found to be the only predictor of partnership trust. Power, leadership, and efficiency were the most important factors influencing partnership mistrust. Power in partnerships must be shared or partners will not trust each other. Power-sharing and trust-building mechanisms need to be built into partnerships from the beginning and sustained throughout the collaborative process.
不同部门之间的合作所取得的成果要优于单个合作伙伴独自工作所能取得的成果。信任是合作有效开展的必要条件。不信任会使合作举步维艰，甚至无法进行。关于影响信任和不信任的合作运作因素的研究很少。本研究旨在确定健康促进合作中的这些因素。通过邮政调查从40个健康促进合作项目的337个合作伙伴那里收集了数据。问卷包含多维度量表，旨在评估影响合作信任和不信任的因素的作用。为信任、不信任和权力开发了新的经过验证的量表。多元回归分析用于确定每个因素对合作信任和不信任的重要性。权力被发现是合作信任的唯一预测因素。权力、领导力和效率是影响合作不信任的最重要因素。合作中的权力必须共享，否则合作伙伴将互不信任。权力共享和信任建立机制需要从一开始就融入合作中，并在整个合作过程中持续下去。
