Abstract

The aim of this study is to develop a model describing the interactions and interdependence between the obstacles to effective implementation of a collaborative model of pandemic preparedness and response. A comprehensive review of the relevant literature highlighted 15 key variables. The contextual interactions between these barrier variables were identified based on the opinions of experts with COVID-19 pandemic experience and analyzed to determine their driving and dependence powers using interpretive structural modeling. The findings indicate that the lack of guidelines and procedures for coordinated actions, differences in organizational culture (working habits) and funding constraints are the most critical barriers to effective multi-stakeholder collaboration. Managers of collaborative programmes, policymakers and researchers should carefully focus on these hindrances because any improvement in them can significantly affect the overall system.

摘要

本研究的目的是开发一个模型，描述有效实施大流行防范和应对协作模型的障碍之间的相互作用和相互依存关系。对相关文献的全面回顾突出了 15 个关键变量。这些障碍变量之间的上下文相互作用是根据具有 COVID-19 大流行经验的专家的意见确定的，并使用解释性结构模型进行分析以确定它们的驱动力和依赖力。调查结果表明，缺乏协调行动的指导方针和程序、组织文化（工作习惯）的差异和资金限制是有效的多方利益相关者合作的最关键障碍。合作项目的管理者，