Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Collaboration Development Factors and Consideration for Community Health Promotion Practice

지역사회 건강증진을 위한 협력개발 요인과 논점

  • Yoo, Seung-Hyun (Seoul National University Graduate School of Public Health, Seoul National University Center for Health Promotion Research)
  • Received : 2010.11.19
  • Accepted : 2010.12.11
  • Published : 2010.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Although collaboration for community health is emphasized, the concept and process of collaboration are rather unclear. International research has classified the types of collaboration and focused on the factors influencing successful collaboration. Greater attention is needed for collaboration practice and research domestically. Findings: By the level of intensity, the types of collaboration range from simpler networking to more formal and sophisticated collaboration. A 4-stage collaboration development consists of formation, implementation, maintenance, and institutionalization stages. Influential factors for collaboration development include: shared goals; operational structure and process; sufficient resources; member and leadership characteristics; environment and climate for collaboration; and information exchange and communication. Discussion: Most of collaboration research so far has dealt with partnerships and coalition building with community-based organizations, and much attention is given to private-public partnership for health. Contextual understanding and collaborative environment are the foremost tasks for us to enhance collaboration for community health in our centralized public health system.

서론: 지역사회 건강증진을 위한 협력이 강조되고 있으나 협력의 개념과 과정에 대해서는 아직 모호한 점이 많다. 협력은 강도와 단계에 따라 구분될 수 있고, 서구에서는 협력 개발에 영향을 미치는 요인에 대한 연구가 활발하게 진행되어 왔다. 국내에서 지역사회 건강증진을 위한 협력개발 논의를 위해서는 선행연구과 현재 동향에 대한 이해가 필요하다. 본론: 협력은 개입과 지속성의 정도에 따라 단순 연계(networking)부터 공동기획과 운영의 협력(collaborating)까지 여러 종류로 구분된다. 협력의 개발단계는 보통 형성-수행-유지-정착의 4단계를 거치며, 이러한 과정에서 중요한 영향 요인으로는 협력의 목적에 대한 이해, 협력 수행 체계 마련, 자원의 확보, 참여자와 리더십의 특성, 협력을 위한 여건, 정보공유와 소통을 들 수 있다. 논의: 선행연구의 협력 단계와 요인 논의는 지역사회 기반 조직들과 공공보건체계, 보건학계의 협력이 활발하고 협력을 위한 독립체계와 자원 지원이 존재하는 상황에서 이루어지고 있다. 우리 현실상황에 적합한 협력개발을 위해서는 선행 협력사례의 교훈을 수용하되 서구의 연구와의 맥락적 차이를 분석해야 하며, 상황분석을 통한 현장 맥락의 철저한 이해와 횡적.종적 조화를 도모하는 지역사회 협력이 본질적으로 가능하도록 현재 보건체계안에서 분위기 조성이 이루어져야 한다.

Keywords

References

  1. Bailey, D, Koney, K. 2000. Strategic alliance among health and human services organizations: From affiliations to consolidations. Thousand Oaks, CA: Sage.
  2. Butterfoss, F.D. 2006. Coalitions and partnerships in community health. San Francisco: Jossey-Bass.
  3. Butterfoss, F.D, Gilmore, L.A., Krieger, J.W., Lachance, L.L., Lara M., Meurer, J.R. et al. 2006. From formation to action: Jow Allies Against Asthma coalitions are getting the job done. Health Promotion Practice, 7(suppl. 2): 34S-43S. https://doi.org/10.1177/1524839906287063
  4. Dowling, B., Powell, M., Glendinning, C. 2004. Conceptualising successful partnerships. Health and Social Care in the Community, 12(4): 309-317. https://doi.org/10.1111/j.1365-2524.2004.00500.x
  5. Downey, L.M., Ireson, C.L., Slavova, S., McKee, G. 2004. Defining elements of success: A critical pathway of coalition development. Health Promotion Practice, 9(2): 130-139.
  6. El Ansari, W., Phillips, C.J., Hammick, M. 2001. Collaboration and partnerships: Developing the evidence base. Health and Social Care in the Community, 9(4): 215-227. https://doi.org/10.1046/j.0966-0410.2001.00299.x
  7. Foster-Fishman, P.G., Berkowitz, S.L., Lounsbury, D.W., Jacobson, S.J., Allen, N.A. 2001. Building collaborative capacity in community coalitions: A review and integrative framework. American Journal of Community Psychology, 29(2): 241-261. https://doi.org/10.1023/A:1010378613583
  8. Gajda, R. 2004. Utilizing collaboration theory to evaluate strategic alliances. American Journal of Evaluation, 25(1): 65-77. https://doi.org/10.1177/109821400402500105
  9. Green, L., Daniel, M., Novick, L. 2001. Partnerships and coalitions for community-based research. Public Health Reports, 116(Suppl.): 20-31. https://doi.org/10.1093/phr/116.S1.20
  10. Himmelman, A. 1992. Communities working collaboratively for a change: Monograph. Minneapolis, MN.: Himmelman Consulting Group.
  11. Kagan, S.L. 1999. United we stand: Collaboration for child care and early education service. New York: Columbia University Teachers College Press, pp. 1-3.
  12. Mattessich, P.W., Murray-Close. M., Monsey, B.R., Wilder Research Center. 2001. Collaboration: What makes it work - A review of research literature on factors influencing successful collaboration. (2nd ed.) St. Paul, MN.: Fieldstone Alliance.
  13. Mattessich, P.W., Monsey, B.R. 2005. Community building: What makes it work - A review of factors influencing successful community building. (2nd ed.) St. Paul, MN.: Amherst H. Wilder Foundation.
  14. Mitchell, S.M., Shortell, S.M. 2000. The governance and management of effective community health partnerships: A typology for research, policy, and practice. The Milbank Quarterly, 78(2): 241-289. https://doi.org/10.1111/1468-0009.00170
  15. Rosenthal. M.P., Butterfoss, F.D., Doctor, L.J., Gilmore, L.A., Krieger, J.W., Meurer, J.R. et al. 2006. The coalition process at work: Building care coordination models to control chronic disease. Health Promotion Practice, 7(Suppl. 2): 117S-126S. https://doi.org/10.1177/1524839906287061
  16. Tuckman, B. 1965. Developmental sequence in small groups. Psychological Bulletin, 63: 384-399. https://doi.org/10.1037/h0022100
  17. Tuckman, B., Jensen, M. 1977. Stages of small group development revisited. Group and Organizational Studies, 2: 419-427. https://doi.org/10.1177/105960117700200404
  18. Winer, M., Ray, K. 1994. Collaboration handbook: Creating, sustaining, and enjoying the journey. St. Paul, MN.: Fieldstone Alliance.
  19. Zakocs, R.C., Edwards, E.M. 2006. What explains community coalition effectiveness? A review of the literature. American Journal of Preventive Medicine, 30(4): 351-361. https://doi.org/10.1016/j.amepre.2005.12.004