Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, Netherlands.
Tranzo School of Social and Behavioral Sciences, Tilburg University, Tilburg, Netherlands.
Front Public Health. 2024 Jun 28;12:1406178. doi: 10.3389/fpubh.2024.1406178. eCollection 2024.
Health is partly determined by the physical environment in which people live. It is therefore crucial to consider health when designing the physical living space. This requires collaboration between the social and physical domains within municipalities. Collaboration is not self-evident, however, and it is difficult to achieve due to barriers relating to culture, language and work processes. Additionally, improvements in collaboration are desperately needed to address complex health issues, and working according to the new Environment and Planning Act in the Netherlands requires more collaboration. One relevant question concerns how civil servants describe the current collaboration between the social and physical domain and the concrete improvements they propose to improve such collaboration to build a healthier living environment.
In this qualitative study, the Collaborative Governance framework was used to present data from semi-structured interviews with 21 civil servants in five Dutch municipalities. Respondents were asked to reflect on their current experiences with collaboration and suggest concrete opportunities for improving collaboration.
The results indicate that enhancing collaboration between the social and physical domains can be achieved by proceeding from the inhabitants' perspective, as well as by encouraging aldermen and managerial personnel to take a more active and committed role in collaboration. This involves formulating and communicating a joint vision, in addition to guiding and facilitating collaboration through integrated assignments, forming multidisciplinary teams and appointing boundary-spanners. Civil servants see a clear role for themselves in the collaborative process. They recognize their own contributions to and obligations in enhancing collaboration by actively seeking contact, absorbing each other's perspectives and pursuing common ground, starting today.
There are many concrete opportunities to improve collaboration between the social and physical domains. This could be initiated immediately if civil servants, managers and aldermen approach collaboration as an essential part of their jobs and acknowledge the interdependency that exits.
健康在一定程度上取决于人们生活的物理环境。因此，在设计物理居住空间时，必须考虑健康因素。这需要城市中的社会和物理领域之间的合作。然而，这种合作并非不言而喻，由于文化、语言和工作流程方面的障碍，合作很难实现。此外，为了解决复杂的健康问题，迫切需要改善合作，而按照荷兰新的《环境与规划法》开展工作则需要更多的合作。一个相关的问题是，公务员如何描述社会和物理领域之间当前的合作，以及他们提出的具体改进措施，以改善这种合作，营造更健康的生活环境。
在这项定性研究中，使用了协作治理框架来呈现对来自五个荷兰城市的 21 名公务员的半结构化访谈数据。受访者被要求反思他们当前的合作经验，并提出具体的改进合作的机会。
结果表明，从居民的角度出发，鼓励市议员和管理人员在合作中发挥更积极和坚定的作用，这可以增强社会和物理领域之间的合作。这涉及制定和传达共同愿景，以及通过综合任务、组建多学科团队和任命联络人来指导和促进合作。公务员在协作过程中看到了自己的明确角色。他们通过积极寻求联系、吸收彼此的观点并追求共同点，认识到自己在增强合作方面的贡献和义务，而不是等到明天。
有许多具体的机会可以改善社会和物理领域之间的合作。如果公务员、管理人员和市议员将合作视为工作的重要组成部分，并承认存在相互依存关系，那么这种合作可以立即开始。
