联盟成员在集体领域建设中的作用：对加拿大人口健康干预研究倡议中的领导力和冠军的评估。

Alliance members' roles in collective field-building: an assessment of leadership and championship within the Population Health Intervention Research Initiative for Canada.

机构信息

Dalla Lana School of Public Health, University of Toronto, 155 College Street, Suite 408, Toronto, Ontario, M5T 3M7, Canada.

Program Evaluation and Beyond, Université de Montréal, Montréal, Canada.

出版信息

Health Res Policy Syst. 2017 Dec 6;15(1):101. doi: 10.1186/s12961-017-0265-x.

DOI:10.1186/s12961-017-0265-x

PMID:29208021

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5718088/

Abstract

BACKGROUND

The Population Health Intervention Research Initiative for Canada (PHIRIC) is a multi-stakeholder alliance founded in 2006 to advance population health intervention research (PHIR). PHIRIC aimed to strengthen Canada's capacity to conduct and use such research to inform policy and practice to improve the public's health by building PHIR as a field of research. In 2014, an evaluative study of PHIRIC at organisational and system levels was conducted, guided by a field-building and collaborative action perspective.

METHODS

The study involved 17 qualitative key informant interviews with 21 current and former PHIRIC Planning Committee and Working Group members. The interviews examined how individuals and organisations were acting as champions and exerting leadership in building the field of PHIR.

RESULTS

Founding PHIRIC organisational members have been championing PHIR at organisational and system levels. While the PHIR field has progressed in terms of enhanced funding, legitimacy, profile and capacity, some members and organisations faced constraints and challenges acting as leaders and champions in their respective environments. Expectations about the future of PHIRIC and field-building of PHIR were mixed, where longer-term and founding members of PHIRIC expressed more optimism than recent members. All agreed on the need for incorporating perspectives of decision-makers into PHIR directions and initiatives.

CONCLUSIONS

The findings contribute to understanding alliance members' roles in leadership and championship for field-building more generally, and for population health and PHIR specifically. Building this field requires multi-level efforts, collaborative action and distributed leadership to create the necessary conditions for PHIRIC members to both benefit from and contribute to advancing PHIR as a field. Lessons from this 'made in Canada' model may be of interest to other countries regarding the structures needed for PHIR field-building.

摘要

背景

加拿大人口健康干预研究倡议（PHIRIC）是一个多利益相关者联盟，成立于 2006 年，旨在推进人口健康干预研究（PHIR）。PHIRIC 的目标是通过将 PHIR 建设成为一个研究领域，加强加拿大开展和利用此类研究的能力，为改善公众健康提供政策和实践依据。2014 年，对 PHIRIC 在组织和系统层面进行了评估研究，研究遵循了领域建设和协作行动的视角。

方法

该研究涉及对 17 名 PHIRIC 规划委员会和工作组的现任和前任成员进行了 17 次定性关键知情者访谈。这些访谈探讨了个人和组织如何在 PHIR 领域充当拥护者并发挥领导作用。

结果

PHIRIC 的创始组织成员一直在组织和系统层面倡导 PHIR。虽然 PHIR 领域在增强资金、合法性、知名度和能力方面取得了进展，但一些成员和组织在各自的环境中充当领导和拥护者时面临着限制和挑战。对 PHIRIC 和 PHIR 领域建设的未来期望不一，PHIRIC 的长期成员和创始成员比近期成员更为乐观。所有人都同意需要将决策者的观点纳入 PHIR 的方向和倡议中。

结论

这些发现有助于更全面地了解联盟成员在领导和拥护领域建设方面的作用，以及对人口健康和 PHIR 的具体作用。建立这个领域需要多层次的努力、协作行动和分布式领导，为 PHIRIC 成员创造必要的条件，使他们既受益于 PHIR 作为一个领域的发展，又为其做出贡献。这个“加拿大制造”模式的经验教训可能会引起其他国家对 PHIR 领域建设所需结构的关注。