Huiberts Irma, Slot-Heijs Jorien, Singh Amika, Collard Dorine
Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, Amsterdam, 1081BT, The Netherlands.
Mulier Institute, Utrecht, The Netherlands.
BMC Health Serv Res. 2024 Dec 5;24(1):1548. doi: 10.1186/s12913-024-12019-3.
Intersectoral collaboration and its coordination are vital for community health promotion. Given the diverse organisational contexts in which local coordinators build intersectoral collaboration, training and support needs of coordinators may vary widely. To date, there is limited insight into how coordinators tasked with building intersectoral collaboration apply their role given their specific organisational context. A more detailed understanding of this process will provide valuable guidance for training and supporting local coordinators. In the current study we focussed on coordinators involved in building intersectoral collaboration within the 'Healthy Youth, Healthy Future' (JOGG) approach in the Netherlands. The organisational contexts in which these local coordinators operate vary considerably. The aim of this study was to explore how local coordinators of the JOGG approach apply their role in building intersectoral collaboration and the competencies they require, taking into account their organisational context.
We conducted interviews with twelve local JOGG coordinators and two focus groups with eight community advisors from the national JOGG organisation. Data was analysed both inductively and deductively.
JOGG coordinators appeared to take on seven different roles over time: implementer, project manager, networker, matchmaker, linchpin, politician and programme manager. These roles required different competencies and varied according to the organisational context, including: available resources, the position of the employing organisation in existing local stakeholder networks, the coordinators' responsibilities in their employing organisation and professional background. In addition, the coordinators role depended on the implementation phase of the JOGG approach. During the first phase, roles at the operational level were more prominent, since they were important for engaging stakeholders and facilitating collaboration. In later phases, coordinators took on roles at a tactical and strategic level in order to mobilise their network.
This study highlights the diversity in how JOGG coordinators apply their role. Our findings highlight the importance of carefully selecting the organisation where coordinators are employed, as this influences their possibilities. In addition, our study provides directions for recruiting coordinators for an intersectoral health promotion approach and supporting them, taking into account the phase of the approach and organisational context.
部门间合作及其协调对社区健康促进至关重要。鉴于地方协调员建立部门间合作的组织环境各不相同，协调员的培训和支持需求可能差异很大。迄今为止，对于负责建立部门间合作的协调员如何根据其特定的组织环境履行职责，了解有限。对这一过程进行更详细的了解将为培训和支持地方协调员提供有价值的指导。在本研究中，我们聚焦于荷兰“健康青年，健康未来”（JOGG）项目中参与建立部门间合作的协调员。这些地方协调员所处的组织环境差异很大。本研究的目的是探讨JOGG项目的地方协调员如何在考虑其组织环境的情况下，在建立部门间合作中履行职责以及他们所需的能力。
我们对12名地方JOGG协调员进行了访谈，并与国家JOGG组织的8名社区顾问进行了两个焦点小组讨论。对数据进行了归纳和演绎分析。
随着时间的推移，JOGG协调员似乎承担了七种不同的角色：实施者、项目经理、网络建设者、媒人、关键人物、政治家和项目经理。这些角色需要不同的能力，并且根据组织环境而有所不同，包括：可用资源、雇佣组织在现有地方利益相关者网络中的地位、协调员在其雇佣组织中的职责以及专业背景。此外，协调员的角色取决于JOGG项目的实施阶段。在第一阶段，操作层面的角色更为突出，因为它们对于吸引利益相关者和促进合作很重要。在后期阶段，协调员承担战术和战略层面的角色，以便调动他们的网络。
本研究突出了JOGG协调员履行职责方式的多样性。我们的研究结果强调了仔细选择协调员所在组织的重要性，因为这会影响他们的可能性。此外，我们的研究为招募部门间健康促进项目的协调员并给予支持提供了方向，同时考虑到项目阶段和组织环境。
