Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, 485 Throop Avenue, 2nd Floor, Room 2467, Brooklyn, NY, 11221, USA.
Bureau of Equitable Health Systems, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Queens, USA.
J Community Health. 2020 Aug;45(4):871-879. doi: 10.1007/s10900-020-00804-0.
To explore facilitators and barriers to developing and sustaining collaboration among New York City Department of Health and Mental Hygiene's Neighborhood Health Action Centers and co-located partners, who share information and decision-making through a Governance Council structure of representative members. Semi-structured interviews were conducted in 2018 with 43 Governance Council members across the three Action Centers of East Harlem (13), Tremont (15), and Brownsville (15), New York City. Governance Council members identified collaboration through information- and resource-sharing, consistent meetings and continuous communication as valuable for fostering a culture of health in their communities. Immediate benefits included building relationships, increased access to resources, and increased reach and access to community members. Challenges included difficulty building community trust, insufficient advertisement of services, and navigation of government bureaucracy. The Governance Councils forged collaborative relationships among local government, community-based organizations and clinical providers to improve health and well-being in their neighborhoods. Sharing space, resources and information is feasible with a movement towards shared leadership and decision-making. This may result in community-driven and tailored solutions to historical inequities. In shared leadership models, some internal reform by Government partners may be required.
为了探索纽约市卫生局和心理健康局的邻里健康行动中心与共同入驻的合作伙伴之间发展和维持合作的促进因素和障碍，这些合作伙伴通过代表成员的治理委员会结构共享信息和决策。2018 年，在东哈莱姆（13 个）、特雷蒙特（15 个）和布朗斯维尔（15 个）的三个行动中心，对 43 名治理委员会成员进行了半结构化访谈。治理委员会成员认为，通过信息和资源共享、定期会议和持续沟通进行合作，对于在他们的社区培养健康文化非常有价值。直接的好处包括建立关系、增加获取资源的机会，以及增加对社区成员的覆盖面和可及性。挑战包括难以建立社区信任、服务宣传不足，以及政府官僚主义的阻碍。治理委员会在地方政府、社区组织和临床服务提供者之间建立了合作关系，以改善他们社区的健康和福祉。通过共同领导和决策，共享空间、资源和信息是可行的。这可能会导致针对历史不平等问题的社区驱动和量身定制的解决方案。在共同领导模式中，政府合作伙伴可能需要进行一些内部改革。
