Taylor S M, Elliott S, Robinson K, Taylor S
Department of Geography, McMaster University, Hamilton, ON.
Can J Public Health. 1998 Nov-Dec;89(6):406-9. doi: 10.1007/BF03404084.
This paper examines factors that facilitate or impede the implementation of heart health activities in Ontario public health departments using survey (n = 262) and depth interview (n = 56) data from Canadian Heart Health Initiative-Ontario Project (CHHIOP). The data were consistent in revealing factors related to leadership, staffing, resources, internal organization, and characteristics of the surrounding community as the primary facilitators or barriers. Diversity within these common themes reflected variation due to external factors in the communities served by the health unit and factors internal to the health unit itself. The findings advance knowledge of the factors that influence predisposition and capacity to undertake community-based heart health promotion in public health departments, and they underscore the challenge of achieving integrated programs among partner agencies.
本文利用加拿大心脏健康倡议 - 安大略项目(CHHIOP)的调查数据(n = 262)和深度访谈数据(n = 56),研究了促进或阻碍安大略省公共卫生部门开展心脏健康活动的因素。这些数据一致揭示了与领导能力、人员配备、资源、内部组织以及周边社区特征相关的因素,这些是主要的促进因素或障碍。这些共同主题中的多样性反映了由于卫生部门所服务社区的外部因素以及卫生部门自身内部因素而产生的差异。这些研究结果增进了我们对影响公共卫生部门开展基于社区的心脏健康促进活动的倾向和能力的因素的认识,同时也凸显了在合作伙伴机构之间实现综合项目的挑战。