Implementation of Health Promotion Programs in Hospitals, Long Term Care Facilities and Schools - A Comparative Case Study

摘要

Many health promotion (HP) programs in organizations fail as compared to their initial goals. Thus deeper insights into implementation processes and the fate of HP projects are needed. Due to the complexity of HP case method research is the most suitable approach. Hospitals, long term care (LTC) facilities and schools are organizations of special interest since HP interventions often interfere in the interactions between professionals and clients and thus also concern communication and collaboration processes between the highly specialized professional staff from different disciplines. Therefore, in implementing HP programs these very specific processes are seen as critical. The current study aims to generate insights which specific factors have to be considered in implementing HP programs in schools, hospitals and LTC facilities, and if there are differences between the three settings. The design of the study incorporates intensive within-case analyses in three organizations within each of the three settings, across-case comparisons within each setting as well as across-case comparisons between settings. The speciality of the current study is that it is the first comprehensive study comparing cases from different settings regarding specific communication and collaboration processes in implementing HP programs. Systems theory yields the theoretical foundation.