Antonio Carl Abelardo T, Li Chi Mei Jessica
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR.
Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines.
Acta Med Philipp. 2023 May 29;57(5):16-27. doi: 10.47895/amp.vi0.3040. eCollection 2023.
Although interagency collaboration in drug treatment and rehabilitation has been substantially studied, a lack of consensus on the nomenclature and definition of collaboration remains an unresolved issue in public health policy and practice. To facilitate further consensus, this review analyses previously used definition, conceptualization, and theorization on interagency collaboration in the field of drug rehabilitation.
We conducted evidence synthesis using a scoping review approach. This review is based on searches using the MEDLINE, CINAHL Complete, Embase, and PsychINFO databases and used the protocol proposed by Arksey and O'Malley.
A total of 6,259 papers were retrieved from database and citation searches, 33 of which were eligible for inclusion in the analysis after screening and evaluation. Although the definitions varied, the common elements included (a) the presence of at least two entities, which were either services, programs or organizations; (b) these entities collaborated or shared resources; (c) partnership went through a development process; and (d) the intent of collaboration was to achieve a common purpose. There were five means of conceptualizing collaboration: (a) degrees, or level of intensity and formality; (b) elements, or the constitutive structure and activities; (c) stages, or the development of partnership over time; (d) levels, or the focus of the collaborative; and (e) type, or a distinction between collaboration on in policy and practice.
Scholarship in this field can benefit from studies that conceptualize collaboration not only crosssectionally through the description of degrees, elements, levels, and type, but also by considering the stages dimension of collaboration (i.e., evolution of collaboration initiative over time). Countries or jurisdictions may need to formalize a term and definition for collaboration as it applies to initiatives within their territories.
尽管机构间在药物治疗与康复方面的合作已得到大量研究，但在合作的命名和定义上缺乏共识仍是公共卫生政策与实践中一个未解决的问题。为促进进一步达成共识，本综述分析了先前在药物康复领域对机构间合作的定义、概念化及理论化。
我们采用范围综述方法进行证据综合。本综述基于使用MEDLINE、CINAHL Complete、Embase和PsychINFO数据库进行的检索，并采用了阿克西和奥马利提出的方案。
通过数据库和引文检索共检索到6259篇论文，经筛选和评估后，其中33篇符合纳入分析的条件。尽管定义各不相同，但共同要素包括：（a）至少有两个实体，它们可以是服务、项目或组织；（b）这些实体进行合作或共享资源；（c）伙伴关系经历一个发展过程；（d）合作的意图是实现一个共同目标。有五种合作概念化方式：（a）程度，即强度和形式化程度；（b）要素，即构成结构和活动；（c）阶段，即伙伴关系随时间的发展；（d）层次，即合作的重点；（e）类型，即政策与实践中合作的区别。
该领域的学术研究可受益于不仅通过描述程度、要素、层次和类型进行横断面合作概念化，还通过考虑合作的阶段维度（即合作倡议随时间的演变）的研究。各国或司法管辖区可能需要为适用于其境内倡议的合作正式确定一个术语和定义。
