Faculty of Social Sciences, University of Lapland, PB 122, 96101 Rovaniemi, Finland.
Health Promot Int. 2022 Jun 1;37(3). doi: 10.1093/heapro/daac091.
This study's aim is to increase insights into the characteristics and conditions of municipal health promotion strategy work. Specifically, we aim to find barriers connected to strategy work, that is, creating and formulating municipal health promotion strategy documents, with the following empirical research question: What perceptions do municipal health promotion strategy actors have on barriers connected to low citizen participation, narrow cross-departmental collaboration and weak goal orientation in health promotion strategy work? Empirical data comprised 22 thematics, individual interviews collected from municipal managers, sector managers and municipal health coordinators. Analysis was conducted using content analysis. This study's findings showed that the main barriers impeding optimal strategy work conditions were administrators' sceptical views of participation and undeveloped administrative practices in inclusive citizen participation, inadequate leadership to unite actors and facilitate collaborative strategy work practices, and challenges in integrating various views into coherent strategic goals. Also, a need for boundary-spanning leadership that strengthens mutual interaction and creates a shared understanding of health promotion to build strategic collaboration and goal-oriented strategy work was revealed. Finally, to strengthen this leadership, influencing administrators' mindsets, behaviour and administrative culture is imperative.
本研究旨在深入了解市级健康促进策略工作的特点和条件。具体而言，我们旨在发现与策略工作相关的障碍，即制定和制定市级健康促进策略文件，并提出以下实证研究问题：市级健康促进策略参与者对公民参与度低、跨部门合作范围狭窄和健康促进策略工作目标导向薄弱相关障碍的看法如何？实证数据包括来自市级管理人员、部门管理人员和市级健康协调员的 22 个主题的个别访谈。分析采用内容分析法进行。本研究的结果表明，阻碍最佳策略工作条件的主要障碍是管理人员对参与的怀疑态度和包容性公民参与的不发达行政实践、领导能力不足，无法团结参与者并促进协作策略工作实践，以及将各种观点纳入连贯的战略目标方面的挑战。此外，还需要具有跨越边界的领导力，以加强相互作用并对健康促进形成共同理解，从而建立战略协作和目标导向的策略工作。最后，要加强这种领导力，就必须影响管理人员的思维方式、行为和行政文化。
