小團體會議對社區健康促進推動者夥伴關係建立之影響

黃毓青

指導教授 ： 鄭惠美

國立臺灣師範大學/教育學院/健康促進與衛生教育學系在職進修碩士班/碩士(2008年)

摘要

臺北市政府衛生局自2003年開始推動「健康生活社區化計畫」，同時投入專家學者的資源，建立了社區輔導、陪伴機制，2007年改變輔導陪伴的機制，改用2-3個行政區的結合形成小團體的輔導機制；本論文探討此輔導機制對社區在執行健康計畫過程中，社區健康促進推動者夥伴關係之改變；促進成功的夥伴關係之因素；對「小團體會議」的評價。
本研究以「臺北市政府衛生局96年度健康生活計畫方案」中入選並參與「小團體會議」的27家社區健康營造團體的主要推動者為研究對象共計46名；入選的27個單位共分5個小團體，在5個月內共計舉辦25次小團體會議，在小團體會議介入前，以問卷收集研究對象的基本資料、對建立夥伴關係的看法、夥伴關係的品質、以及小團體外的夥伴關係現況，並於介入後第5個月進行後測，以瞭解小團體會議介入後的效果及夥伴關係的改變。並應用社會網絡分析方法瞭解團體過程中的互動關係，以NetDraw描繪夥伴關係結構，用UCINET6分析網絡密度(Network Density)。
研究資料以獨立樣本t檢定、成對樣本t檢定及UCINET6等方法進行資料分析，所得結果如下：
一、透過小團體會議，使不同單位的健康促進推動者，共同商討社區健康計
畫，有助社區健康計畫的執行落實。
二、小團體會議的介入，有助夥伴關係的建立，使信任、衝突、承諾等三方面
的夥伴關係品質有顯著提升效果；溝通與目標一致性之夥伴關係品質沒有
顯著。
三、小團體會議的介入，讓研究對象體會夥伴關係的利益，因而更懂得運用社
會資源的聯結。
四、小團體會議的介入，猶如一個學習型的組織，學習他人的經驗與優點，進
　　而改善運用在自己的社區上達到很好的成效。
五、有九成以上的研究對象表示「小團體會議」有助社區健康計畫的推動，能
　　符合需求，更有助夥伴關係的建立。
六、小團體內的成員有第一年做社區健康計畫，有的是資深且很有經驗的推動
　　者，透過小團體會議的介入，有經驗者帶領沒經驗者，透過分享交流的機
　　會，將社區健康營造經驗繼續傳遞。
　　整體而言，透過「小團體會議」介入，有助於社區健康計畫的推動，與社區健康營造單位夥伴關係的建立，建議將此策略推廣運用於各社區健康營造單位的聯盟中。

關鍵字

夥伴關係 ； 小團體會議 ； 社區健康促進推動者

並列摘要

Abstract

Taipei City Health Bureau is promoting a “Healthy Life Community” plan since 2003. In additional to resources from Taipei City Government, this plan had also involved many efforts from sociology experts. Firstly, it implemented consulting and accompanying system in selected communities. Few years later in 2007, the accompanying system had been broken into 2-3 districts rather than one for each community. This research is to study if the relationship between promoters in the plan improves after shifting from a larger group to small groups, what are the keys to the success in partnership and if the small group works better in the plan.

This research uses the 46 key promoters in “2007 Healthy Life Community Plan” who had involved in the “Small Group Meeting” from the selected 27 units as study sample. The 27 units had divided into 5 small groups and had 25 small group meetings within 5 months. This research collected information from those 46 promoters for their basic information and viewpoints about partnership, quality of current partnership and relationship other than current partnership through a pre-small group survey. 5 months later, there is an after small group test survey to learn the impacts on relationship of the small group partnership. This research uses social networking model to understand the interactive within the small group, employ NetDraw to describe the partnership structure and apply UCINET6 to analyze its Network Density.

After independent sample t test, paried-samples t test and UCINET6 test, the results had been summarized as follows:

1. Small Group Meetings facilitate promoters from different units in discussing and resolving the problems encountered and further help the implementation of the Plan.
2. Small Group Meetings also encourage partnership building and significantly improve its qualities in mutual trust, conflict dealing and promise keeping. However, no significant improves in qualities of communication and alignment.

3. The promoters had benefit from the partnership through Small Group Meeting and further learned to connect it with network of other resources in the society.
4. Small Group Meetings also work like a learning organization. Promoters from different communities learned from each other’s experiences and copy the successful pattern in their own community.
5. The post Small Group Meeting survey had shown 90% positive responses on easier implementation of the plan, more adoption to their needs, and improvement in building partnership.
6. Since the Small Groups are mixed with experienced and inexperienced members, the experienced members can share and pass down their knowledge through the Small Group.

In light of the above, it proves that the Small Group Meetings effectively improve in both promoting the Healthy Life Community Plan and building positive partnership within the group. Therefore, this Small Group Meeting strategy is highly recommended for every unit of the Healthy Life Community Plan.

並列關鍵字

Partnership ； The Small Group Meeting ； Promoters

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