ABSTRACT

Increasing health inequalities and entrenched social problems demands systemic change that challenges the status quo of current programs and policies and enhances intersectorial collaboration between government, service providers, and communities. Collective Impact (CI) is one approach aimed to support local communities solve complex and systemic problems. A case study design is used to describe a rural Australian community’s approach to strengthening collaboration in an early stage CI. Data included in-depth interviews (N = 11), that were thematically analyzed to develop descriptive themes. Barriers to successful collaboration were complexity of change, system dynamics and a lack of community engagement. Successful collaboration was facilitated by inclusive and diverse relationships; innovation and adaption and a willingness to disrupt the system. Findings suggest that CI offers a promising approach to strengthening collaboration and understand how multiple and diverse partners work together in adaptive and emergent ways to bring about community-level change.

摘要

日益严重的健康不平等和根深蒂固的社会问题需要系统性变革，挑战当前项目和政策的现状，并加强政府、服务提供者和社区之间的跨部门合作。集体影响 (CI) 是一种旨在支持当地社区解决复杂和系统性问题的方法。案例研究设计用于描述澳大利亚农村社区在早期 CI 中加强合作的方法。数据包括深入访谈（N = 11），对这些访谈进行专题分析以制定描述性主题。成功合作的障碍是变化的复杂性、系统动态和缺乏社区参与。包容和多样化的关系促进了成功的合作；创新和适应以及破坏系统的意愿。