实践中的地方公共卫生项目化：实施公共卫生计划的促进因素和障碍的定性研究。
Local public health projectification in practice: a qualitative study of facilitators and barriers to a public health plan implementation.
机构信息
Department of Health Management and Health Economics, University of Oslo, Norway.
出版信息
Scand J Public Health. 2023 Aug;51(6):874-881. doi: 10.1177/14034948221080402. Epub 2022 Mar 18.
AIMS
To identify factors perceived by local government employees to affect the implementation of a municipal public health plan.
METHODS
Qualitative individual interviews (=13) were carried out. Participants were sampled from three districts in Oslo municipality, Norway, and asked about their experiences with an ongoing implementation of the Oslo Public Health Plan (2017-2020). The conceptual framework of public sector projectification - a growing reliance on project organisation of policies - informed the study. The consolidated framework for implementation research was used to aid data coding and subsequent thematic analysis.
RESULTS
Implementation facilitators included factors perceived to support flexibility, including plan adaptability to the local setting, and factors perceived to enable structure and control during the implementation process, such as the articulation of specific goals and a shared understanding of public health work. Barriers were mainly related to complex aspects of the plan, such as the need to involve multiple stakeholders and levels of governance, and to tensions between the time-limited implementation process and the permanent organisational structures.
CONCLUSIONS
目的
确定地方政府雇员认为会影响实施市公共卫生计划的因素。
方法
进行了定性的个人访谈（共 13 次）。参与者是从挪威奥斯陆市的三个区抽取的，并被要求分享他们在实施《奥斯陆公共卫生计划》（2017-2020 年）方面的经验。公共部门项目化的概念框架——越来越依赖项目组织政策——为这项研究提供了信息。实施研究的综合框架用于帮助数据编码和随后的主题分析。
结果
实施促进因素包括被认为支持灵活性的因素，例如计划对当地环境的适应性，以及被认为在实施过程中能够提供结构和控制的因素，例如明确具体目标和对公共卫生工作的共同理解。障碍主要与计划的复杂方面有关，例如需要涉及多个利益相关者和治理层次，以及实施过程的时间限制与永久组织结构之间的紧张关系。
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