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引领医疗保健领域公共部门的跨组织合作:气候与健康交叉领域的经验教训。

Leading public sector interorganizational collaboration in healthcare: Lessons from the intersection of climate and health.

作者信息

Zidulka Amy, Mitchell Ingrid Kajzer

机构信息

Royal Roads University, Victoria, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2025 May;38(3):241-246. doi: 10.1177/08404704241311911. Epub 2025 Feb 3.

DOI:10.1177/08404704241311911
PMID:39895558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12009452/
Abstract

It is generally accepted that wicked problems cannot be addressed by a single organization and require multiorganizational arrangements across governmental jurisdictions and sectoral boundaries. Health leaders increasingly are being called upon to lead collaborative initiatives. However, doing so is fraught with complexity. This article draws on relevant organizational literature and an empirical study focused on public sector collaboration for the purpose of fostering climate resilience in the health system to put forward four guidelines for collaborative leaders.

摘要

人们普遍认为,棘手问题无法由单个组织解决,需要跨政府管辖范围和部门界限的多组织安排。卫生领域的领导者越来越多地被要求领导合作倡议。然而,这样做充满了复杂性。本文借鉴相关组织文献以及一项以公共部门合作为重点的实证研究,目的是增强卫生系统的气候适应力,为合作型领导者提出四条指导方针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/237f/12009452/7295ce3dd964/10.1177_08404704241311911-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/237f/12009452/105f0202e456/10.1177_08404704241311911-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/237f/12009452/7295ce3dd964/10.1177_08404704241311911-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/237f/12009452/105f0202e456/10.1177_08404704241311911-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/237f/12009452/7295ce3dd964/10.1177_08404704241311911-fig2.jpg

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BMJ Glob Health. 2023 Jul;8(7). doi: 10.1136/bmjgh-2023-012709.
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Why reducing avoidable hospital readmissions is a 'wicked' problem for leaders: A qualitative exploration of nursing and allied health perceptions.为什么降低可避免的医院再入院率对领导者来说是一个“棘手”的问题:对护理和联合健康感知的定性探讨。
J Adv Nurs. 2023 Mar;79(3):1031-1043. doi: 10.1111/jan.15220. Epub 2022 Mar 24.
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The Indigenous primary health care and policy research network: Guiding innovation within primary health care with Indigenous peoples in Alberta.
原住民初级卫生保健和政策研究网络:在艾伯塔省与原住民合作指导初级卫生保健创新。
Health Policy. 2021 Jun;125(6):725-731. doi: 10.1016/j.healthpol.2021.02.007. Epub 2021 Feb 25.
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Climate Change and Health: Local Solutions to Local Challenges.气候变化与健康:地方应对地方挑战
Curr Environ Health Rep. 2020 Dec;7(4):363-370. doi: 10.1007/s40572-020-00294-1. Epub 2020 Oct 28.