Health governance by collaboration: a case study on an area-based programme to tackle health inequalities in the Dutch city of the Hague

Plochg, Thomas; Schmidt, Mélodi; Klazinga, Niek; Stronks, Karien

doi:10.1093/eurpub/ckt038

Cited by 12 publications

(16 citation statements)

References 13 publications

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“…For example, moves to value-based or performance-based payment models in the USA and the Netherlands required openness between contracting parties to jointly identify shared interests, aims and performance targets . 34,36 In England, commissioning (strategic purchasing and contracting of health services) was also described as being dependent on prior relational work with flexibility and reciprocity between commissioners and providers as crucial contextual factors for redesigning and reducing costs of transactional services. 35,37 Relations refer to how cultural change is enacted at an interpersonal level.…”

Section: Identified Components and Subcomponentsmentioning

confidence: 99%

Reorganizing and integrating public health, health care, social care and wider public services: a theory-based framework for collaborative adaptive health networks to achieve the triple aim

Steenkamer

Drewes

Putters

et al. 2020

J Health Serv Res Policy

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Objective Population health management (PHM) refers to large-scale transformation efforts by collaborative adaptive health networks that reorganize and integrate services across public health, health care, social care and wider public services in order to improve population health and quality of care while at the same time reducing cost growth. However, a theory-based framework that can guide place-based approaches towards a comprehensive understanding of how and why strategies contribute to the development of PHM is lacking, and this review aims to contribute to closing this gap by identifying the key components considered to be key to successful PHM development. Methods We carried out a scoping realist review to identify configurations of strategies (S), their outcomes (O), and the contextual factors (C) and mechanisms (M) that explain how and why these outcomes were achieved. We extracted theories put forward in included studies and that underpinned the formulated strategy-context-mechanism-outcome (SCMO) configurations. Iterative axial coding of the SCMOs and the theories that underpin these configurations revealed PHM themes. Results Forty-one studies were included. Eight components were identified: social forces, resources, finance, relations, regulations, market, leadership, and accountability. Each component consists of three or more subcomponents, providing insight into (1) the (sub)component-specific strategies that accelerate PHM development, (2) the necessary contextual factors and mechanisms for these strategies to be successful and (3) the extracted theories that underlie the (sub)component-specific SCMO configurations. These theories originate from a wide variety of scientific disciplines. We bring these (sub)components together into what we call the Collabroative Adaptive Health Network (CAHN) framework. Conclusions This review presents the strategies that are required for the successful development of PHM. Future research should study the applicability of the CAHN framework in practice to refine and enrich identified relationships and identify PHM guiding principles.

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Section: Identified Components and Subcomponentsmentioning

confidence: 99%

Reorganizing and integrating public health, health care, social care and wider public services: a theory-based framework for collaborative adaptive health networks to achieve the triple aim

Steenkamer

Drewes

Putters

et al. 2020

J Health Serv Res Policy

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show abstract

“…Residential communities should accommodate people at different income levels, which in turn can promote employment and services across diverse communities, help to reduce social separation, and contribute to community care for elderly people. 314 Third, the planning and design of healthy cities should contribute to improved urban resilience for public health emergencies, including through strengthened capacity for emergency preparation, response, mitigation, and recovery. Identification of the characteristics of potential public health emergencies in specific cities would facilitate the development of public health event scenarios that can be assessed formally through vulnerability analysis, allowing for estimates of the degree of expected damage, affected area, and spatiotemporal dynamics of the hazard and health effects.…”

Section: Integrate Health In All Policiesmentioning

confidence: 99%

The Tsinghua–Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China

et al. 2018

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“…Collaborative governance is an arrangement where state agencies directly recruit stakeholders in a collective, formal, consensus-oriented, deliberative decision-making process and aims to establish or implement state policies 1 . It is essential to make a clear distinction between the three stages or processes of this governance arrangement: (i) principles, (ii) processes, and (iii) outcomes.…”

Section: Introductionmentioning

confidence: 99%

Collaborative place-based health governance systems: stakeholders’ perceptions in the Portuguese Baixo Vouga sub-region

Gonçalves

Santinha

Santiago

et al. 2021

Ciênc. saúde coletiva

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This study aimed to assess the Baixo Vouga sub-region (Portugal) governance system through 15 interviews with leaders of institutions with decision-making power and provide healthcare. The interviews were subjected to a content analysis, organized in matrices by cases, categories, subcategories, and indicators. Recording units were extracted from the interviews to produce data for each indicator. A Collaborative Place-based Governance Framework systematizing operational definitions of collaborative governance was implemented to serve as a benchmark for assessing the collaborative and place-based dimensions. The Baixo Vouga sub-Region governance system is collaborative because it is based on a shared structure of principles that translates into the services provided. It has a multilevel and multisector collaboration, and can undertake shared decisions. These dimensions could be reinforced through increased participation, autonomy, subsidiarity if more place-based information and practical knowledge were sought. The system would also benefit from an extensive adoption of bottom-up methods to formulate and implement policies.

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Health governance by collaboration: a case study on an area-based programme to tackle health inequalities in the Dutch city of the Hague

Cited by 12 publications

References 13 publications

Reorganizing and integrating public health, health care, social care and wider public services: a theory-based framework for collaborative adaptive health networks to achieve the triple aim

Reorganizing and integrating public health, health care, social care and wider public services: a theory-based framework for collaborative adaptive health networks to achieve the triple aim

The Tsinghua–Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China

Collaborative place-based health governance systems: stakeholders’ perceptions in the Portuguese Baixo Vouga sub-region

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