title: Values conflicts in professional-community collaborations.
abstract: GAP/I and INP+ represent markedly divergent cultures and therefore highlight the opportunities and strains associated with professional-community collaborations. I believe, however, that the factors that emerge from studying GAP/I-INP+ are not idiosyncratic and are relevant for other professional-community dyads. Every such partnership is likely to require some form of bridging mechanism to serve the same purposes as Mr Varghese's role did. The task of creating a zone of optimal tension may be less familiar than the need to build bridges but it is no less important. Tension between partners with significantly different cultural backgrounds has tremendous potential for generating misunderstanding and distrust. Avoiding tension-laden issues is likely to entail significant cost, whether in the form of resentment, distrust, withdrawal, or settling for a lesser outcome than could be achieved. Finally, creating and sustaining the potential for constructive tension typically requires the humble virtues associated with servant-leadership: patience, persistence and understanding.
authors: Department of Population Medicine and Psychiatry, Harvard Medical School, Boston, MA 02215, USA. jim_sabin@hphc.org
authors: James E
authors: JE
authors: Sabin
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D003159:Community-Institutional Relations; D015658:HIV Infections / Q000517:prevention & control*; D006265:Health Care Coalitions; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007194:India; D007391:International Cooperation; D017008:Negotiating; D019982:Organizational Case Studies; D015279:Organizational Culture; D012945:Social Values; D014481:United States