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Service integration as contributor to program success: A case study of the National Health Initiative in Alaska, 1999--2000.

机译：服务整合是项目成功的关键：1999--2000年阿拉斯加国家卫生倡议的案例研究。

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摘要

This case study of the National Health Initiative in Alaska during 1999--2000 specifically examines how service integration (between health care facilities and domestic violence agencies) contributes to program success (improved health care response to domestic violence). Twelve multidisciplinary site teams participated in this national demonstration project. Each team attended intensive training in April 1999 and made efforts to institutionalize improved clinical practice in their own communities during the course of the project. Primary data collection efforts included audiotaped interviews and written surveys completed with Site Team Leaders (STLs) and Domestic Violence Advocates (DVAs), and document review during site visits conducted during summers of 1999 and 2000.;This study examined specific components of service integration and site-specific program features as contributors to program success. Levels of service integration investigated included coordination (joint meetings, joint trainings, resource networks, referrals, and telephone consultation), collaboration (number and quality of collaborative efforts, internal communication, willingness to cooperate and mutual respect) and cohesion (staff stability and staff ability to work together). Site-specific program features investigated included community geography, professional experience of both Site Team Leaders and Domestic Violence Advocates, and community awareness, concern and history of collaboration around domestic violence issues. Components of program success investigated included both infrastructure (needs assessment, protocol development, assurance mechanisms) and service (universal screening, safety planning, appropriate referral).;Service Integration was positively related to Program Success, but only a few key factors seemed particularly contributory to success. Joint training (coordination), mutual respect (collaboration) and staff stability (cohesion) all appeared critical to program success. The only site-specific program feature that appeared to have significant impact on service integration (and thus indirectly program success) was Site Team Leader Professional Experience. The other key contributor to program success apparent in analysis was Administrative Support . Sites with experienced Site Team Leaders and with Administrative Support experienced more satisfactory service integration and also the most program success. A revised conceptual framework, and implications and recommendations for research and practice are provided.
机译：这项关于1999--2000年阿拉斯加国家卫生倡议的案例研究专门研究了服务整合（卫生保健机构和家庭暴力机构之间）如何为计划成功做出贡献（改善了卫生保健对家庭暴力的反应）。 12个跨学科的现场团队参加了这个国家示范项目。每个团队在1999年4月参加了强化培训，并在项目过程中努力使自己社区中改进的临床实践制度化。主要的数据收集工作包括与现场团队负责人（STL）和家庭暴力倡导者（DVA）进行录音采访和书面调查，以及在1999年和2000年夏季进行的现场访问期间进行文件审查。特定于站点的程序功能是程序成功的原因。调查的服务整合水平包括协调（联席会议，联合培训，资源网络，转诊和电话咨询），协作（协作工作的数量和质量，内部沟通，合作意愿和相互尊重）和凝聚力（员工稳定度和工作人员）合作的能力）。调查的针对特定站点的计划功能包括社区地理，站点团队负责人和家庭暴力倡导者的专业经验，以及社区意识，关注和有关家庭暴力问题的合作历史。被调查的计划成功的组成部分包括基础设施（需求评估，协议开发，保证机制）和服务（通用筛选，安全计划，适当的推荐）。服务集成与计划成功成正相关，但似乎只有几个关键因素特别重要成功。联合培训（协调），相互尊重（合作）和人员稳定性（凝聚力）似乎都是计划成功的关键。似乎对服务集成（从而间接影响程序的成功）产生重大影响的特定于站点的计划功能是站点团队负责人的专业经验。分析中显而易见的另一个导致计划成功的关键因素是行政支持。具有经验丰富的站点团队负责人和管理支持的站点经历了更加令人满意的服务集成，并且获得了最多的计划成功。提供了修订的概念框架，以及对研究和实践的影响和建议。

著录项

  • 作者

    Johnson, Rhonda Margo.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Public health.
  • 学位 D.P.H.
  • 年度 2001
  • 页码 298 p.
  • 总页数 298
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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