Challenges in managing a multi-sectoral health promotion program
2013 (English)In: Leadership in Health Services, ISSN 1751-1879, Vol. 26, no 4, 368-386 p.Article in journal (Refereed) Published
Purpose: The purpose of this paper is to investigate program management teams’ views on issuesand challenges in managing a large, multi-sectoral child health promotion program in Sweden.
Design/methodology/approach: In total, 17 participants representing two autonomous programmanagement teams, one strategic and one operational, were interviewed. Analysis of interview datawas complemented with reviews of program documents.
Findings: Program management teams identified important issues concerning the program’sformal structure, goals, role distribution, and change and dissemination processes, but lacked a sharedmental model of the situation. Inter and intra group communication, long- and short-term strategicplanning were further areas in need of improvement. While issues and challenges might seem to beagreed upon by the program’s change agents, closer inspection reveals variation in key characteristicsas well as in perspectives on solutions.
Originality/value: Health promotion programs are challenging. Researchers trying tounderstand program success have focused on particular interventions, contextual factors andprogram recipients. Less research has focused on the internal processes of teams tasked withwide-ranging change mandates and the effects such processes can have on program outcomes. Thisstudy contributes to a deeper understanding on internal processes and mental models of changeagent teams.
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2013. Vol. 26, no 4, 368-386 p.
health promotion, Sweden, mental models, change management, implementation process, program management
IdentifiersURN: urn:nbn:se:umu:diva-85029DOI: 10.1108/LHS-12-2011-0048OAI: oai:DiVA.org:umu-85029DiVA: diva2:691086