partnership

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  • 文章类型: Journal Article
    在英国,使用过的残疾设备的盈余造成了浪费,而在低收入和中等收入国家(LMICs),缺乏获得残疾设备的机会是需要解决的两个问题。为了解决这些问题,英国慈善机构翻新并将使用过的残疾设备重新分配给LMIC。迄今为止,关于LMICs如何从英国组织获得多余的残疾设备的数据很少。这项研究旨在整理和绘制设备从英国翻新和重新分配给LMIC的过程,并确定影响伙伴关系发展和可持续性的因素。采用探索性定性案例研究设计。在2022年1月至2月之间,对来自发件人(英国)和收件人(罗马尼亚)组织的参与者进行了九次半结构化访谈,并在必要时进行实时翻译。使用了智能逐字转录,并使用潜在主题分析对数据进行分析。收集的过程,从英国到LMIC组织的残疾设备的翻新和重新分配被映射。从访谈中确定了三个关键主题:(1)发展需要;(2)服务发展需要适当的工作关系;(3)流程整合和未来。坚强,组织之间诚实和透明的关系被认为是该倡议成功的基础。提高服务提供标准以满足LMIC组织的特定需求,支持开发合适的设备处方。发展类似的伙伴关系有可能减少不平等差距和浪费。需要全球合作和规划,以应对低收入国家获得残疾设备的挑战。
    多余残疾设备的翻新和再分配已经出现,并将继续发展,以应对低收入和中等收入国家(LMIC)对设备供应的迫切需求。以及减少英国国内设备的剩余浪费。发展强者,诚实,组织之间透明和持续的关系被认为是该倡议成功的基础,特别是提高服务提供标准,以满足LMIC组织的特定需求,为服务用户开发合适的设备处方。发展类似的伙伴关系有可能减少不平等差距和浪费。需要全球合作和规划,以应对低收入国家获得残疾设备的挑战。
    The surplus of used disability equipment contributing to waste in the UK and the lack of access to disability equipment in low- and middle-income countries (LMICs) are two issues in need of solution. To address such problems, UK charities refurbish and redistribute used disability equipment to LMICs. To date, there is a scarcity of data on how LMICs could access surplus disability equipment from UK organisations. This study aimed to collate and map out the process by which equipment is refurbished and redistributed from the UK to LMIC\'s and identify factors which influence the development and sustainability of the partnership. An explorative qualitative case study design was used. Nine semi-structured interviews were conducted with participants from sender (UK) and a receiver (Romania) organisation between January-February 2022, with real-time translation where necessary. Intelligent verbatim transcription was used, and data was analysed using latent thematic analysis. The process of collection, refurbishment and redistribution of disability equipment from the UK to a LMIC organisation was mapped. Three key themes were identified from the interviews: (1) Development out of need; (2) Service development requires an adequate working relationship; (3) Process consolidation and future. Strong, honest and transparent relationships between organisations was identified as underpinning the success of the initiative. Raising service provision standards to meet specific needs of LMIC organisations supports development of suitable equipment prescription. Development of similar partnerships has potential of reducing the inequity gap and waste. Global collaboration and planning are required to address challenges of access to disability equipment in LMICs.
    Refurbishment and redistribution of surplus disability equipment has emerged and continues to be developed as a response to a critical need for equipment provision in low- and middle-income countries (LMICs), as well as to reduce surplus waste of equipment within the UK.The development of strong, honest, transparent and continued relationships between organisations was identified as underpinning the success of the initiative, in particular raising service provision standards to meet specific needs of LMIC organisations to develop suitable equipment prescription for service users.Development of similar partnerships has the potential of reducing the inequity gap and waste. Global collaboration and planning are required to address challenges of access to disability equipment in LMICs.
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  • 文章类型: Journal Article
    非洲发展中国家面临失业危机,许多失业青年。农业已被确定为以青年为目标创造就业的战略部门,包括那些可能没有农业相关资格的人。然而,各种挑战限制了青年参与农业价值链的有效性。该研究旨在(i)确定青年对农业价值链机会的认识,(ii)确定他们对其在价值链中的作用的看法,(iii)确定他们对针对青年的农业计划的看法,以及他们对谁负责吸引青年从事农业的意见,(iv)描述农业中青年赋权的动态。使用焦点小组讨论和在线调查收集数据,并使用SPSS和NVivo进行分析。知识贫乏,对农业价值链活动和职业的认识程度低,不符合加工和零售企业就业的最低要求被确定为主要挑战。大多数青年对农业加工等非主要活动感兴趣,与农业生产相比,劳动密集型程度较低,投资回报更快。然而,促进青年参与农业的支持服务和方案主要侧重于初级活动,这表明青年的愿望和目前的支持之间不匹配。了解青年的愿望,支持青年赋权和参与价值链的观念和动力对于促进参与和制定相关和反应迅速的政策至关重要。此外,改善信息获取和提高对农业价值链的认识对于减少进入壁垒至关重要。政策制定者应将农业和粮食系统知识纳入初等教育课程,以提高青年的认识,并唤起对农业粮食系统职业的兴趣。
    Developing countries in Africa face an unemployment crisis, with many unemployed youth. Agriculture has been identified as a strategic sector for employment creation targeted at youth, including those who may not have agriculture-related qualifications. However, various challenges limit the effectiveness of youth participation in the agriculture value chain. The study aimed to (i) determine youth awareness of agricultural value-chain opportunities, (ii) determine their perception of their role in the value chain, (iii) determine their perception of agricultural programs targeting youth and their opinions on who is responsible for attracting youth into agriculture and, (iv) to characterise the dynamics of youth empowerment in agriculture. Data was collected using focus group discussions and an online survey and analysed using SPSS and NVivo. Poor knowledge, low levels of awareness of agricultural value-chain activities and careers, and not meeting the minimum requirements for employment in processing and retail businesses were identified as key challenges. Most youth were interested in non-primary activities such as agro-processing, which are less labour-intensive and have a quicker return on investment than agricultural production. However, support services and programs for promoting youth participation in agriculture mainly focus on primary activities, signifying a mismatch between youth aspirations and current support. Understanding youth aspirations, perceptions and dynamics underpinning youth empowerment and participation in value chains is critical for promoting participation and formulating relevant and responsive policies. Additionally, improving access to information and building awareness of agricultural value chains is crucial in reducing barriers to entry. Policymakers should integrate agriculture and food systems knowledge into the primary education curriculum to promote youth awareness and evoke interest in agri-food system careers at an early age.
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  • 文章类型: Journal Article
    背景:这是一项案例研究的研究提案,旨在探索一个国家组织如何与在国家心理健康改善计划中具有生活经验的人合作。质量改进被认为是应对医疗保健挑战的关键解决方案,在苏格兰,在使用质量改进作为改善健康和社会护理提供的手段方面,人们做出了巨大的努力。2016年,苏格兰医疗保健改善(HIS)建立了改善中心,其目的是领导使用一系列方法来支持团队和服务的国家改进计划。与有经验的人合作被认为是这种改进工作的关键组成部分。有,然而,对这在国家组织中的实践中表现得知之甚少。弥补证据方面的差距,加强一贯做法,需要有更多的了解来改善伙伴关系的工作。
    目的:本研究的目的是更好地了解一个全国性组织是如何与有过精神卫生服务改善计划经验的人合作的,探索人们在国家组织中合作的经验。将采用探索性案例研究方法来解决与人格障碍(PD)改善计划有关的研究问题:(1)PD改善计划中的伙伴关系如何运作?(2)伙伴关系在PD改善计划中的实际运作如何?(3)哪些因素影响PD改善计划中的伙伴关系?
    方法:将采用探索性案例研究方法与PD改善计划有关,由他领导。这项研究将探讨如何与有生活经验的人合作,在实践中描述和体现,概述影响伙伴关系工作的因素。数据将从各种定性来源收集,和分析将加深对伙伴关系工作的理解。
    结果:这项研究是斯特林大学临床博士课程的一部分,没有资金支持。数据收集工作已于2023年10月完成;预计将完成分析,结果将于2025年1月公布。
    结论:这项研究将产生与有经验的人一起工作的新知识,并将对所有以改进为重点的干预措施具有实际意义。尽管研究的主要重点是国家改进计划,预计这项研究将有助于理解所有国家公共服务组织如何与有精神卫生保健经验的人合作。
    DERR1-10.2196/51779。
    This is a research proposal for a case study to explore how a national organization works in partnership with people with lived experience in national mental health improvement programs. Quality improvement is considered a key solution to addressing challenges within health care, and in Scotland, there are significant efforts to use quality improvement as a means of improving health and social care delivery. In 2016, Healthcare Improvement Scotland (HIS) established the improvement hub, whose purpose is to lead national improvement programs that use a range of approaches to support teams and services. Working in partnership with people with lived experience is recognized as a key component of such improvement work. There is, however, little understanding of how this is manifested in practice in national organizations. To address gaps in evidence and strengthen a consistent approach, a greater understanding is required to improve partnership working.
    The aim of this study is to better understand how a national organization works in partnership with people who have lived experience with improvement programs in mental health services, exploring people\'s experiences of partnership working in a national organization. An exploratory case study approach will be used to address the research questions in relation to the Personality Disorder (PD) Improvement Programme: (1) How is partnership working described in the PD Improvement Programme? (2) How is partnership working manifested in practice in the PD Improvement Programme? and (3) What factors influence partnership working in the PD Improvement Programme?
    An exploratory case study approach will be used in relation to the PD Improvement Programme, led by HIS. This research will explore how partnership working with people with lived experience is described and manifested in practice, outlining factors influencing partnership working. Data will be gathered from various qualitative sources, and analysis will deepen an understanding of partnership working.
    This study is part of a clinical doctorate program at the University of Stirling and is unfunded. Data collection was completed in October 2023; analysis is expected to be completed and results will be published in January 2025.
    This study will produce new knowledge on ways of working with people with lived experience and will have practical implications for all improvement-focused interventions. Although the main focus of the study is on national improvement programs, it is anticipated that this study will contribute to the understanding of how all national public service organizations work in partnership with people with lived experience of mental health care.
    DERR1-10.2196/51779.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    在非洲,过度依赖捐助者资助艾滋病毒/艾滋病保健服务仍然是一个令人关切的问题。这项研究,因此,探索津巴布韦政府与国际非政府组织在提供艾滋病毒/艾滋病医疗服务方面的伙伴关系。解释主义范式和描述性现象学设计被用来征求意见,感知,以及40名故意抽样的关键线人的经验。使用ATLAS进行主题分析。ti7.1.4版分析数据。在政策方面的差异,结构,伙伴之间的行政问题确定了方案执行中的挑战。这通过预防方面取得的成果的逆转得到了证明,care,和治疗。这引起了人们对违约风险增加的担忧,耐药性,和死亡。因此,在这项努力中,合作伙伴应就有效提供艾滋病毒/艾滋病保健服务的统一方法进行谈判。
    An over-reliance on donor funding for HIV/AIDS healthcare services remains a concern in Africa. This study, therefore, explores the partnership between the Zimbabwean government and an international non-governmental organisation in delivering HIV/AIDS healthcare services. An interpretivist paradigm and descriptive phenomenological design were used to elicit the opinions, perceptions, and experiences of forty purposively sampled key informants. Thematic analysis was employed using ATLAS.ti version 7.1.4 to analyse the data. The differences in terms of policies, structures, and administrative issues between the partners identified challenges in the implementation of the programme. This was demonstrated through the reversal of the gains attained in prevention, care, and treatment. This raises concerns for increased risk of defaulters, drug resistance, and deaths. Therefore, the partners in this endeavour should negotiate an aligned approach for the efficient delivery of HIV/AIDS healthcare services.
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  • 文章类型: Journal Article
    私营部门在全球自然保护中发挥着越来越重要的作用。本研究探讨了政治嵌入性的概念,这表明政府和环境非政府组织(ENGO)可以利用彼此的优势来实现正式和非正式的目标。以中国老河沟自然保护区为例,这项研究说明了政府和ENGO的互补优势如何构成土地信托储备的基础。在案件中,研究发现,在项目实施过程中,政府与ENGO之间的权力和利益平衡支持了它们在自然保护方面的正式合作。这项研究提出了一种政治视角,以阐述自然保护公私伙伴关系(PPP)项目的正式和非正式层面的权力和利益。此外,它指出,政府和ENGO之间的权力平衡对于建立具有包容性利益的伙伴关系网络至关重要。
    Private sector plays an increasingly vital role in nature conservation globally. This study explores the concept of political embeddedness, which suggests that governments and environmental nongovernmental organizations (ENGOs) can leverage each other\'s strengths to achieve both formal and informal goals. Using the case of Laohegou Nature Reserve in China, this study illustrated how the complementary advantages of the government and ENGOs form the foundation of a land trust reserve. Within the case, the study found that power and interest balance between the government and ENGOs during project implementation supported their formal cooperation in nature conservation. This study proposed a political perspective to elaborate power and interest in the formal and informal dimensions of nature conservation public-private partnership (PPP) project. Moreover, it noted that a balance of power between the government and ENGOs is essential in building partnership networks with inclusive interests.
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  • 文章类型: Journal Article
    伙伴关系对免疫接种的进展至关重要,对于人乳头瘤病毒(HPV)疫苗接种尤其如此,这必须在更广泛的免疫接种的背景下进行,性健康和生殖健康,和宫颈癌预防计划。从HPV疫苗的发现和开发开始,通过实施和提高计划的弹性,伙伴关系发挥了关键作用。2018年5月,《加速消除宫颈癌全球战略》设定了一个目标,即90%的女孩在15岁之前完全接种HPV疫苗。这将需要当前和未来伙伴之间的有效伙伴关系和多部门合作,以确保利益一致,高效执行,以及建立解决新出现的挑战和预先防范可预见风险的机制。在加强这种合作方式时,HPV可以为其他健康和免疫计划提供模板。
    Partnerships are fundamental to progress in immunization, and this is especially true for human papillomavirus (HPV) vaccination, which must be delivered in the context of a broader immunization, sexual and reproductive health, and cervical cancer prevention programs. Starting from the discovery and development of HPV vaccines, through to implementation and improvement of the program\'s resilience, partnerships have played a critical role. In May 2018, the Global Strategy to Accelerate the Elimination of Cervical Cancer set a target for 90 % of girls to be fully vaccinated with HPV vaccine by age 15 years. This will require effective partnership and multisectoral collaboration among current and future partners to ensure alignment of interests, efficient execution, and the establishment of mechanisms to resolve emerging challenges and pre-empt foreseeable risks. In ramping up this partnering approach, HPV can provide a template for other health and immunization programs.
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  • 文章类型: Journal Article
    南北伙伴关系已被确定为解决全球卫生部门一些挑战的一种方法。挪威和马拉维在创伤和浮现护理方面有这样的伙伴关系。缺乏创伤护理和急诊医学是全球主要的公共卫生问题。这会给个人带来重大损失,家庭,和社会。这项研究遵循了挪威和马拉维之间的这种伙伴关系,调查其社会文化利益,以及这对卫生专业人员文化能力的贡献。本研究选择了一个定性案例研究,与该计划的卫生专业人员和协调员进行了20次半结构化访谈。采访是使用Zoom和WhatsApp等平台以数字方式进行的。采访是在2020年12月至2021年2月期间收集的。我们发现,来自两国的交流参与者在很大程度上报告了积极的经验。他们的经历围绕着他们与患者的互动和相遇,患者亲属,以及主办机构的同事。参与者报告说,他们对不同背景下的健康寻求行为有了更好的理解,与患者和同事沟通的重要性,和团队合作。此外,该研究揭示了对种族和性别等身份的认知的重要性,以及这些对卫生专业人员与患者互动的影响。我们还发现,尽管在不同的社会文化环境中工作被报道具有挑战性,在建设和发展文化能力方面,它被认为是丰富和有益的。该研究得出的结论是,南北卫生专业人员交流伙伴关系可以成为发展和培养卫生专业人员文化能力的可行工具,然而,这些计划需要投资于使交易所参与者做好准备,以应对东道国机构和国家面临的挑战。
    North-South partnerships have been identified as one way of solving some of the challenges in health sectors globally. Norway and Malawi have one such partnership in trauma and emergence care. Lack of trauma care and emergency medicine is a major public health concern worldwide. This results in substantial loss to individual, families, and society. The study follows this partnership between Norway and Malawi, investigating on its socio-cultural benefits, and on how this contributes to the health professionals\' cultural competence. A qualitative case study was chosen for this study, 20 semi-structured interviews were conducted with health professionals and coordinators of the program. Interviews were conducted digitally using platforms such as Zoom and WhatsApp. Interviews were collected between the period of December 2020and February 2021. We found out that exchange participants from both countries largely reported positive experiences. Their experiences centered around their interactions and encounters with patients, patients\' relatives, and colleagues at host institutions. Participants reported a better understanding on health seeking behaviors in different contexts, the importance of communication with both patients and colleagues, and teamwork. In addition, the study revealed the importance on perceptions around identities such as race and gender and how these impact on health professionals\' interactions with patients. We also found out that although working in a different socio-cultural environment was reported as challenging, it was experienced as enriching and rewarding in terms of building and developing cultural competence. The study concludes that North-South health professionals exchange partnerships can be a viable vehicle for developing and naturing cultural competence in health professionals, however, such programs need to invest in preparing the exchange participants to be ready for the challenges that lies ahead in host institutions and countries.
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  • 文章类型: Case Reports
    学术卫生专业计划和临床实践设置之间的强大伙伴关系,称为学术-临床伙伴关系,对于提供高质量的临床培训经验至关重要。然而,文献没有实施一个模型,通过该模型,一个学术项目可以识别优先属性和评估其伙伴关系。本研究旨在开发一种基于价值观的学术-临床伙伴关系评估方法,植根于评估领域的方法,并在学术的物理治疗临床教育计划的医生的背景下实施。作者开发了一种半定量评估方法,该方法结合了多属性效用分析(MAUA)的概念,实现了一致的、基于价值观的伙伴关系评估。数据知情行动提高了伙伴关系的整体效力。试点结果支持将MAUA作为潜在的方法框架的可行性和可取性。进一步的研究可能会导致任何学术健康专业计划的标准化过程的发展,以执行其学术临床伙伴关系的基于价值的评估,以指导决策。
    Strong partnerships between academic health professions programs and clinical practice settings, termed academic-clinical partnerships, are essential in providing quality clinical training experiences. However, the literature does not operationalize a model by which an academic program may identify priority attributes and evaluate its partnerships. This study aimed to develop a values-based academic-clinical partnership evaluation approach, rooted in methodologies from the field of evaluation and implemented in the context of an academic Doctor of Physical Therapy clinical education program. The authors developed a semi-quantitative evaluation approach incorporating concepts from multi-attribute utility analysis (MAUA) that enabled consistent, values-based partnership evaluation. Data-informed actions led to improved overall partnership effectiveness. Pilot outcomes support the feasibility and desirability of moving toward MAUA as a potential methodological framework. Further research may lead to the development of a standardized process for any academic health profession program to perform a values-based evaluation of their academic-clinical partnerships to guide decision-making.
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  • 文章类型: Journal Article
    部门间伙伴关系是促进健康的核心方法。通过结合不同的观点,来自不同部门的知识和资源,伙伴关系对于解决复杂的健康问题很重要。当成功时,部门间伙伴关系创造协同作用,这被认为是将伙伴关系功能与健康影响联系起来的近端结果。尽管如此,伙伴关系也是困难和耗时的,可能会导致冲突,敌意和权力斗争。预期这种拮抗剂输出会产生负面结果。然而,冲突也可能是有价值的学习的来源。本文探讨了健康促进伙伴关系中冲突与协同之间的关系。经验材料来自对为期4年的丹麦政府伙伴关系计划的评估。数据包括从35个伙伴关系收集的调查数据和10个伙伴关系的深入定性案例研究。分析受到现实主义评价的启发。定性数据被编码,和写的案子。进行了跨案例分析,并对调查数据进行了三角测量。令人惊讶的是,合作伙伴之间的分歧和利益冲突是常见的,并与协同创造有关。此外,伙伴关系的协同作用经验通常与它们对差异的归属有关,而不是与共同目标或价值一致性有关。该研究确定,协同作用的潜力在于合作伙伴不同观点之间的富有成效的对抗。此外,促成生产性冲突的一个关键机制是包容性对话,其中合作伙伴的差异被重视,所有的声音都包括在内。因此,该研究以现有的协同作用文献为基础,并增加了对健康促进伙伴关系中冲突的理解的细微差别。
    Intersectoral partnerships constitute a central approach in health promotion. By combining different perspectives, knowledge and resources from different sectors, partnerships are important for addressing complex health problems. When successful, intersectoral partnerships create synergy, which is suggested to be a proximal outcome that links partnership functioning to health effects. Nonetheless, partnerships are also difficult and time-consuming and may result in conflicts, hostility and power struggles. Such antagonist outputs are expected to produce negative results. However, conflicts may also be a source of valuable learning. This article explores the relationship between conflict and synergy in health promotion partnerships. The empirical material is derived from an evaluation of a 4-year Danish government partnership program. Data consist of survey data collected from 35 partnerships and in-depth qualitative case studies of 10 partnerships. The analysis was inspired by realist evaluation. The qualitative data were coded, and cases written up. Cross-case analysis was conducted and triangulated with survey data. Surprisingly, disagreements and conflicts of interests between partners were common and associated with synergy creation. Moreover, the partnerships\' experiences of synergy were often linked to their attribution of differences rather than to common goals or value congruences. The study identifies that a potential for synergy lays in the productive confrontation between partners different perspectives. Moreover, a key mechanism enabling productive conflicts was inclusive dialog, in which the partners\' differences were valued, and all voices were included. The study thus builds on the existing synergy literature and adds nuance to the understanding of conflicts in health promotion partnerships.
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