Partnership structures in the WHO European Healthy Cities project

Green, Geoff; Price, Chester W.; Lipp, Alistair; Priestley, Richard

doi:10.1093/heapro/dap053

Cited by 23 publications

(23 citation statements)

References 12 publications

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“…Beyond attrition from the profession, the combined effects of mental and physical exhaustion along with sleep deprivation have been related to higher rates of attentional failures [7, 8] as well as serious medical errors [9]. Furthermore, the emotional exhaustion and depersonalization linked to professional burnout has been linked to decreased empathy [10] and increased sickness absence [11]. Although regulating work hours is an important initial step, early recognition of those healthcare practitioners’ troubled by excessive and prolonged stress provides useful opportunities for early interventions.…”

Section: Introductionmentioning

confidence: 99%

Patterns of salivary cortisol levels can manifest work stress in emergency care providers

Takahashi

Shetty

2012

J Physiol Sci

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To develop objective assessments of work fatigue, we investigated the patterns of changes in salivary cortisol levels in emergency care providers working extended work shifts. Fourteen subjects, comprising seven physicians and seven physician assistants, provided unstimulated saliva samples at regular intervals over the course of a 24-h work shift and over their subsequent free day. There was a significant time effect, with early morning cortisol levels being significantly attenuated following the work shift. Native diurnal variations varied by gender, with the female subjects manifesting greater cortisol levels. Physicians also had higher cortisol profiles even though their wake–rest cycles were similar to those of the physician assistants. Our results suggest that temporal changes, as well as diurnal similarities, in the salivary cortisol patterns can reflect work-related stress and recovery. In particular, early morning cortisol levels may manifest individual reactivity to work stressors as well as sleep deprivation.

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Section: Introductionmentioning

confidence: 99%

Patterns of salivary cortisol levels can manifest work stress in emergency care providers

Takahashi

Shetty

2012

J Physiol Sci

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“…In practice, partnerships within the health and social services sectors dominated earlier phases of the WHO-ECHN and still account for most collaborative partnerships. 25 However, in this Special Supplement, Alistair Lipp, Tim Winters, and Evelyne De Leeuw reveal that in phase IV more cities engaged with other sectors: 64 % at the highest level with the education sector, 28 % with the transport sector, and 42 % with urban planning, reflecting a core theme of this phase. Cities have generally moved beyond the planning stage to implement collaborative projects and programs.…”

Section: Institutional Change-supporting Innovationmentioning

confidence: 86%

City Leadership for Health and Well-being: Back to the Future

Tsouros

2013

J Urban Health

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The new European Health Policy Framework and Strategy: Health 2020 of the World Health Organization, draws upon the experience and insights of five phases, spanning 25 years, of the WHO European Healthy Cities Network (WHO-EHCN). Applying the 2020 health lens to Healthy Cities, equity in health and human-centered sustainable development are core values and cities have a profound influence on the wider determinants of health in the European population. "Making it Happen" relies on four action elements applied and tested by municipalities and their formal and informal partners: political commitment, vision and strategy, institutional change, and networking. In turn, the renewed commitment by member states of the WHO Regional Committee to work with all spheres and tiers of government is a new dawn for city governance, encouraging cities to redouble their investment in health and health equity in all policies, even in a period of austerity. For phase VI, the WHO-EHCN is being positioned as a strategic vehicle for implementing Health 2020 at the local level. Healthy Cities' leadership is more relevant than ever.

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“…It builds on an earlier evaluation of phase III. 20 For both evaluations, the principal research instrument was a questionnaire sent to member cities of the Network-71 in phase III and 79 in phase IV. For this analysis, data were extracted from responses by 59 cities in 23 countries near the end of phase IV in 2008.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of Partnership Working in Cities in Phase IV of the WHO Healthy Cities Network

2012

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An intersectoral partnership for health improvement is a requirement of the WHO European Healthy Cities Network of municipalities. A review was undertaken in 59 cities based on responses to a structured questionnaire covering phase IV of the network (2003)(2004)(2005)(2006)(2007)(2008). Cities usually combined formal and informal working partnerships in a pattern seen in previous phases. However, these encompassed more sectors than previously and achieved greater degrees of collaborative planning and implementation. Additional WHO technical support and networking in phase IV significantly enhanced collaboration with the urban planning sector. Critical success factors were high-level political commitment and a well-organized Healthy City office. Partnerships remain a successful component of Healthy City working. The core principles, purpose and intellectual rationale for intersectoral partnerships remain valid and fit for purpose. This applied to long-established phase III cities as well as newcomers to phase IV. The network, and in particular the WHO brand, is well regarded and encourages political and organizational engagement and is a source of support and technical expertise. A key challenge is to apply a more rigorous analytical framework and theory-informed approach to reviewing partnership and collaboration parameters.

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Partnership structures in the WHO European Healthy Cities project

Cited by 23 publications

References 12 publications

Patterns of salivary cortisol levels can manifest work stress in emergency care providers

Patterns of salivary cortisol levels can manifest work stress in emergency care providers

City Leadership for Health and Well-being: Back to the Future

Evaluation of Partnership Working in Cities in Phase IV of the WHO Healthy Cities Network

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