A Theory of Change for Aligning Health Care, Public Health, and Social Services in the Time of COVID-19

Landers, Glenn M; Minyard, Karen; Lanford, Daniel; Heishman, Hilary

doi:10.2105/ajph.2020.305821

Cited by 29 publications

(39 citation statements)

References 2 publications

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“…During the COIVD-19 pandemic, it is believed that the pandemic has affected patients’ attitudes toward overall health care issues. This may be attributed to several possible exacerbating consequences of the pandemic including: limited access to health care system as a result of lockdown and demand of social distancing [ 35 , 36 ]; effects on mental health and well-being such as fear and stress [ 37 ]; and profound impact on economic situation of both governments and individuals [ 38 ]. It is also suggested that CL wearers are among patients who were affected in regard to their lenses wear and care attitudes during the pandemic [ 18 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of contact lens wearers’ attitude toward contact lens wear and care during Coronavirus Disease 2019 (COVID-19) pandemic: A cross-sectional online survey

Bakkar

Alzghoul

2021

Contact Lens and Anterior Eye

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COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several reports have provided conflicting recommendations regarding contact lenses (CL) use during COVID-19, causing confusion among CL wearers. The aim of this study is to assess CL wearers' attitudes toward CL wear and care during COVID-19 pandemic. Methods: A web-based cross-sectional online survey was used to assess the participants' attitude toward CL wear and care during the COVID-19 pandemic. The survey layout was based on Google form® specifically developed for CL wearers. Demographic characteristics and CL history and profile were also collected for each participant. Results: A total of 196 CL wearers completed the online survey with an average age was 26 (± 4.1) and 90.8 % of participants were females. As reported by the participants, social media was the main source of information about COVID-19. 38.8 % of the study population reported stopping CL wear during the pandemic. The main stated reason for lens discontinuation was decreased social activities during the pandemic. 61.2 % of participants continued lens wear, with the majority reported considerable changes in their behaviors toward CL wear and care during the pandemic. This includes reinforced hands cleaning before and after lens wear, disinfecting of CLs and CL case and less frequent CL aftercare visits. Conclusion:The majority of the study population have continued CL wear during the pandemic. Contact lens wearers reported profound changes in attitudes toward CL wear including improved care and maintenance. Additionally, changes in CL purchase habit have been reported with more tendency for online purchase. CL cessation has been associated with several perceived reasons mainly attributed to reduced outdoor activity and fear of ocular infection. Levels of compliance among CL wearers should be assessed and reinforced during the current pandemic and similar lockdown situation to reduce possible CL-related complications and dropout.

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Section: Discussionmentioning

confidence: 99%

Assessment of contact lens wearers’ attitude toward contact lens wear and care during Coronavirus Disease 2019 (COVID-19) pandemic: A cross-sectional online survey

Bakkar

Alzghoul

2021

Contact Lens and Anterior Eye

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“…Although our study primarily focuses on health department collaborations in the context of chronic disease, the return of infectious disease to the forefront of consciousness in public health due to COVID-19 has highlighted more than ever the importance of strong multisector collaborations [27,28,29]. In managing a coordinated public health response for the pandemic, SHDs and local public health agencies should collaborate with multiple sectors, including state education agencies, school districts, restaurant associations and chains, entertainment venues, and public transportation to address issues such as social distancing protocols and reopening procedures.…”

Section: Discussionmentioning

confidence: 99%

The Power of Partnerships: State Public Health Department Multisector Collaborations in Major Chronic Disease Program Areas

Tsai¹,

Allen²,

Saliba³

et al. 2021

Preprint

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Background Multisector collaboration between state health departments (SHDs) and diverse community partners is increasingly recognized as important for promoting positive public health outcomes, addressing social determinants of health, and reducing health inequalities. This study investigates collaborations between SHDs and different types of organizations addressing chronic disease in and outside of the health sector. Methods SHD employees were randomly selected from the National Association of Chronic Disease Directors membership list for participation in an online survey. Participants were asked about their primary chronic disease work unit (cancer, obesity, tobacco, diabetes, cardiovascular disease, and others), as well as their work unit collaborations (exchange of information/cooperation in activities) with organizations in health and non-health sectors. As a measure of the different organizations SHDs collaborated with in health and non-health sectors, a collaboration heterogeneity score for each program area was calculated. One-way ANOVA with Tukey’s post hoc tests were used to assess differences in collaborator heterogeneity between program areas. Results A total of 574 participants were surveyed. Results indicated the cancer program area, along with diabetes and cardiovascular disease, had significantly less collaboration heterogeneity with organizations outside of the health sector compared to the obesity and tobacco program areas. Conclusions Evidence suggests that to address social determinants of health and promote health equity, increased public health collaborations with diverse non-health sector community-based settings is critical.

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“…The cross‐sector alignment theory of change. This image was reprinted with permission from Landers et al (2020) [Colour figure can be viewed at wileyonlinelibrary.com]…”

Section: Introductionmentioning

confidence: 99%

“…In response, the Robert Wood Johnson Foundation (RWJF) recently consolidated learnings from its experiences with research and practice in cross‐sector collaboration over the past three decades. The result of this effort was the cross‐sector alignment theory of change (Figure 1 ; Landers, G., Minyard, K., Lanford, D., & Heishman, H., 2020 ). A theory of change for aligning health care, public health, and social services in a time of COVID‐19.…”

Section: Introductionmentioning

confidence: 99%

Aligning healthcare, public health and social services: A scoping review of the role of purpose, governance, finance and data

Lanford

Petiwala

Landers

et al. 2021

Health Social Care Comm

Self Cite

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Organisations spanning social services, public health and healthcare have increasingly experimented with collaboration as a tool for improving population health and reducing health disparities. While there has been progress, the results have fallen short of expectations. Reflecting on these shortcomings, the Robert Wood Johnson Foundation (RWJF) recently proposed a new framework for cross‐sector alignment intended to move the field towards improved outcomes. A central idea in this framework is that collaboratives will be more effective and sustainable if they develop collaborative systems in four core areas: shared purpose, governance, finance and shared data. The goal of this paper is to provide a foundation for research on the four core areas of the cross‐sector alignment framework. Accordingly, this study is based on two guiding questions: (1) how are collaboratives currently implementing systems in the four core areas identified in the framework, and (2) what strategies does the literature offer for creating sustainable systems in these four areas? Given the emergent nature of research on health‐oriented cross‐sector collaboration and the broad research questions, we conducted a systematic scoping review including 179 relevant research papers and reports published internationally from the years 2010–2020. We identified the main contributions and coded each based on its relevance to the cross‐sector alignment framework. We found that most papers focused on programme evaluations rather than theory testing, and while many strategies were offered, they tended to reflect a focus on short‐term collaboration. The results also demonstrate that starting points and resource levels vary widely across individuals and organisations involved in collaborations. Accordingly, identifying and comparing distinct pathways by which different parties might pursue cross‐sector alignment is an imperative for future work. More broadly, the literature is ripe with observations that could be assessed systematically to produce a firm foundation for research and practice.

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A Theory of Change for Aligning Health Care, Public Health, and Social Services in the Time of COVID-19

Cited by 29 publications

References 2 publications

Assessment of contact lens wearers’ attitude toward contact lens wear and care during Coronavirus Disease 2019 (COVID-19) pandemic: A cross-sectional online survey

Assessment of contact lens wearers’ attitude toward contact lens wear and care during Coronavirus Disease 2019 (COVID-19) pandemic: A cross-sectional online survey

The Power of Partnerships: State Public Health Department Multisector Collaborations in Major Chronic Disease Program Areas

Aligning healthcare, public health and social services: A scoping review of the role of purpose, governance, finance and data

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