1 University of Ottawa, Ottawa, Ontario, Canada.
2 Public Health Agency of Canada, Ottawa, Ontario, Canada.
Glob Health Promot. 2019 Jun;26(2):41-50. doi: 10.1177/1757975917714036. Epub 2017 Aug 14.
Cross-sector collaboration is increasingly relied upon to tackle society's pressing and intractable problems. Chief among societal problems are unfavorable structural and social determinants of health. The ability to positively change these health determinants rests on the collaborative processes and structures of governance across diverse sectors in society. The purpose of this article is to present a conceptual framework that sheds light on the basic requirements of cross-sector collaboration for social change to promote the health of populations. A search for theoretical articles on cross-sector collaboration in the fields of public administration and public health was conducted within the journal databases ABI/INFORM Complete and MEDLINE. This search strategy was supplemented by an internet search of the grey literature for high-profile models of cross-sector collaboration. The conceptual framework builds on previous scholarly work by placing emphasis on five essential conditions for collective impact, and on the pivotal role of collective learning. Collective learning, at the basis of planning and taking action, is at the core of effective cross-sector initiatives, specifically because of its critical role in constantly adapting strategies to changing circumstances and unanticipated situations within complex socio-ecological systems.
跨部门协作越来越多地被用于解决社会紧迫和棘手的问题。社会问题中首要的是对健康不利的结构性和社会性决定因素。积极改变这些健康决定因素的能力取决于社会各部门之间协作的治理过程和结构。本文的目的是提出一个概念框架，阐明跨部门合作促进人口健康的社会变革的基本要求。在 ABI/INFORM Complete 和 MEDLINE 期刊数据库中对公共行政和公共卫生领域的跨部门合作理论文章进行了检索。该搜索策略通过互联网搜索高知名度的跨部门合作典范模型进行了补充。该概念框架以之前的学术工作为基础，重点强调了实现集体影响的五个必要条件，以及集体学习的关键作用。集体学习是规划和采取行动的基础，是有效跨部门举措的核心，特别是因为它在不断调整策略以适应复杂社会生态系统中不断变化的情况和意外情况方面发挥着关键作用。
