Schöttle Anika, Coenen Michaela, Rehfuess Eva Annette, Kaiser Birgit, Wiedemann Christine, Pfadenhauer Lisa M
Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie, Ludwig-Maximilians-Universität München, München, Germany.
Pettenkofer School of Public Health, Ludwig-Maximilians-Universität München, München, Germany.
Gesundheitswesen. 2023 May;85(5):e16-e31. doi: 10.1055/a-1815-3254. Epub 2022 Jun 2.
The City of Munich is planning and implementing a "Prevention Chain" as an integrated community-based prevention strategy in the new district of "Freiham" in Munich. This is taking place while the district is being built. The "Prevention Chain Freiham" aims to create an environment that enables a healthy upbringing of all children and adolescents right from the start. In order to guide this project, an interdepartmental working group was formed within the City of Munich's administration. This study analyses the working group's structures, processes and its collaboration with a variety of stakeholders.
We conducted a multimethod study comprising qualitative interviews and social network analysis. Between March and April 2018, we conducted semi-structured interviews with members of the working group. The study participants also generated ego-centred social network maps. The transcripts were analysed using qualitative content analysis as described by Schreier. The network maps were also analysed using qualitative content analysis and the results were visualized. Our preliminary findings were interpreted, discussed and validated in a workshop in June 2018 with study participants.
Ten members of the working group participated in the study. The interdepartmental, multiprofessional collaboration in the working group was perceived as beneficial for the process of developing and implementing the Prevention Chain. The external coordination by MAGs and the scientific expertise provided by the LMU Munich were considered highly supportive. Barriers to the planning and implementation of the Prevention Chain were mainly located at administration level. Most facilitators were attributed to the collaborative processes within the working group. After having mapped all stakeholders currently involved in the Prevention Chain (mainly actors within the City of Munich's administration), additional relevant stakeholders were identified by the members of the working group.
The organizational form of the working group as a formalized association of representatives of various departments that are jointly responsible for the Prevention Chain is considered beneficial for the success of the Prevention Chain. This is further supported by the external coordination and academic support. Advancing the development and implementation of the Prevention Chain will require support from all relevant departments across sectors and hierarchies.
慕尼黑市正在规划并实施一项“预防链”计划，作为慕尼黑新城区“弗赖哈姆”基于社区的综合预防策略。该计划在城区建设期间开展。“弗赖哈姆预防链”旨在营造一种环境，使所有儿童和青少年从一开始就能在健康的环境中成长。为指导该项目，慕尼黑市行政部门内部成立了一个跨部门工作组。本研究分析了该工作组的结构、流程及其与各类利益相关者的合作情况。
我们开展了一项多方法研究，包括定性访谈和社会网络分析。2018年3月至4月期间，我们对工作组成员进行了半结构化访谈。研究参与者还绘制了以自我为中心的社会网络图。使用施赖尔描述的定性内容分析法对访谈记录进行分析。对社会网络图也采用定性内容分析法进行分析，并将结果可视化。2018年6月，我们与研究参与者在一次研讨会上对初步研究结果进行了解释、讨论和验证。
十名工作组成员参与了本研究。工作组内跨部门、多专业的合作被认为对“预防链”的制定和实施过程有益。由MAGs进行的外部协调以及慕尼黑大学提供的科学专业知识被认为具有很大的支持作用。“预防链”规划和实施的障碍主要存在于行政层面。大多数促进因素归因于工作组内部的协作过程。在绘制了目前参与“预防链”的所有利益相关者（主要是慕尼黑市行政部门内部的行为主体）之后，工作组成员又确定了其他相关利益者。
工作组作为一个由共同负责“预防链”的各部门代表组成的正式协会的组织形式，被认为对“预防链”的成功有益。外部协调和学术支持进一步证明了这一点。推进“预防链”的发展和实施需要跨部门、跨层级的所有相关部门的支持。
