Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition

<p><strong>Background: </strong>Increasingly, place-based collaborative partnerships are being implemented to develop the capacity of communities to build supportive environments and improve population health outcomes. These place-based initiatives require cooperative and coordinat...

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Main Authors: Carolyn Ehrlich, Elizabeth Kendall
Format: Article
Language:English
Published: Ubiquity Press 2015-12-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/index.php/ijic/article/view/2012
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spelling doaj-190c7a6d59914e8e85253e756f958dbc2020-11-24T23:27:11ZengUbiquity PressInternational Journal of Integrated Care1568-41562015-12-011542073Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalitionCarolyn Ehrlich0Elizabeth KendallGriffith University<p><strong>Background: </strong>Increasingly, place-based collaborative partnerships are being implemented to develop the capacity of communities to build supportive environments and improve population health outcomes. These place-based initiatives require cooperative and coordinated responses that can exist within social systems and integrate multiple responses. However, the dynamic interplay between co-existing systems and new ways of working makes implementation outcomes unpredictable.</p><p><br /><strong>Method: </strong>We interviewed eight programme leaders, three programme teams and two advisory groups to explore the capacity of one social system to implement and normalise a collaborative integrated place-based health promotion initiative in the Logan and Beaudesert area in South East Queensland, Australia. The construct of capacity as defined in the General Theory of Implementation was used to develop a coding framework. Data were then placed into conceptually coherent groupings according to this framework until all data could be accounted for.</p><p><br /><strong>Results: </strong>Four themes defined capacity for implementation of a collaborative and integrated response; namely, the ability to (1) traverse a nested and contradictory social landscape, (2) be a responsive and ‘good’ community partner, (3) establish the scaffolding required to work ‘in place’; and (4) build a shared meaning and engender trust. Overall, we found that the capacity of the system to embed a place-based health promotion initiative was severely limited by the absence of these features.</p><p><br /><strong>Conclusion: </strong>Conflict, disruption and constant change within the context into which the place-based collaborative partnership was being implemented meant that existing relationships were constantly undermined and the capacity of the partners to develop trust-based coherent partnerships was constantly diminished. To enhance the likelihood that collaborative and integrated place-based health promotion initiatives will become established ways of working, an agreed, meaningful and clearly articulated vision and identity are required; goals must be prioritised and negotiated; and sustainable resourcing must be assured.</p>http://www.ijic.org/index.php/ijic/article/view/2012place-based initiativespartnershipssocial systemshealth care systemsembedding interventionsintegrating care
collection DOAJ
language English
format Article
sources DOAJ
author Carolyn Ehrlich
Elizabeth Kendall
spellingShingle Carolyn Ehrlich
Elizabeth Kendall
Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
International Journal of Integrated Care
place-based initiatives
partnerships
social systems
health care systems
embedding interventions
integrating care
author_facet Carolyn Ehrlich
Elizabeth Kendall
author_sort Carolyn Ehrlich
title Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
title_short Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
title_full Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
title_fullStr Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
title_full_unstemmed Integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one Australian health coalition
title_sort integrating collaborative place-based health promotion coalitions into existing health system structures: the experience from one australian health coalition
publisher Ubiquity Press
series International Journal of Integrated Care
issn 1568-4156
publishDate 2015-12-01
description <p><strong>Background: </strong>Increasingly, place-based collaborative partnerships are being implemented to develop the capacity of communities to build supportive environments and improve population health outcomes. These place-based initiatives require cooperative and coordinated responses that can exist within social systems and integrate multiple responses. However, the dynamic interplay between co-existing systems and new ways of working makes implementation outcomes unpredictable.</p><p><br /><strong>Method: </strong>We interviewed eight programme leaders, three programme teams and two advisory groups to explore the capacity of one social system to implement and normalise a collaborative integrated place-based health promotion initiative in the Logan and Beaudesert area in South East Queensland, Australia. The construct of capacity as defined in the General Theory of Implementation was used to develop a coding framework. Data were then placed into conceptually coherent groupings according to this framework until all data could be accounted for.</p><p><br /><strong>Results: </strong>Four themes defined capacity for implementation of a collaborative and integrated response; namely, the ability to (1) traverse a nested and contradictory social landscape, (2) be a responsive and ‘good’ community partner, (3) establish the scaffolding required to work ‘in place’; and (4) build a shared meaning and engender trust. Overall, we found that the capacity of the system to embed a place-based health promotion initiative was severely limited by the absence of these features.</p><p><br /><strong>Conclusion: </strong>Conflict, disruption and constant change within the context into which the place-based collaborative partnership was being implemented meant that existing relationships were constantly undermined and the capacity of the partners to develop trust-based coherent partnerships was constantly diminished. To enhance the likelihood that collaborative and integrated place-based health promotion initiatives will become established ways of working, an agreed, meaningful and clearly articulated vision and identity are required; goals must be prioritised and negotiated; and sustainable resourcing must be assured.</p>
topic place-based initiatives
partnerships
social systems
health care systems
embedding interventions
integrating care
url http://www.ijic.org/index.php/ijic/article/view/2012
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