Improving cross-sector collaborations in place-based population health projects

Lo, Kenneth; Lockwood, Craig

doi:10.1016/j.puhip.2022.100285

Cited by 3 publications

(3 citation statements)

References 38 publications

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“…This study showed contextual differences among the "Suburban Tables" and "Rural Tables" reflected from the interviews and member checking. In our study, it was surprising that the RC Index strength rated by the "Rural Tables" was "moderate", as rural communities usually tend to have more challenges (Zhu et al, 2019;Lo & Lockwood, 2022). It is important to consider the local context since there are differences in policy, governance, funding, history, and patient populations in each organization or sector (Tsasis et al, 2012).…”

Section: ) Consider the Context At The Local Levelmentioning

confidence: 82%

A Health Systems Policy Framework on “How to” Build Cross-Sector Collaboration: Perspectives From Health Administrators and Leaders

Liu,

Tsasis

2024

JMPP

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There are many barriers/challenges bringing multiple stakeholders within health and non-health together to collaborate to address population health. This study aims to identify the key components to build successful cross-sector collaboration and develop a policy framework for health systems integration and transformation. We conducted quantitative surveys and qualitative interviews with health administrators and leaders who volunteered to participate on six newly established teams or “Tables” to improve population health locally in Ontario, Canada. Using thematic analysis and methodological triangulation, we identified emergent themes that were confirmed by member checking. The Relational Coordination survey response rate was 62% (n=45). The survey results were correlated with the twelve interviews and member checking. Drawing from the perspectives of the health administrators and leaders of the “Tables”, the emergent themes identified for successful cross-sector collaboration were: 1) systems change mindset, 2) inter-dependency, 3) inter-organizational relationships, and 4) self-organizing capacity. A health systems policy framework on “how to” build cross-sector collaboration was developed to support and achieve health systems integration.

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Section: ) Consider the Context At The Local Levelmentioning

confidence: 82%

A Health Systems Policy Framework on “How to” Build Cross-Sector Collaboration: Perspectives From Health Administrators and Leaders

Liu,

Tsasis

2024

JMPP

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“…The development of effective communication when collaborating between multiple organisations is noted as a skilled endeavour (Tooher et al 2017). Aligned with the role of relationships and trust, these factors were essential to both identify the opportunities for collaboration that managed to align visions and goals of all partners (Lo and Lockwood 2022). In this case, maintaining the status quo would have meant that poor health and educational outcomes for children and young people would continue perpetuating a lifetime of increased hardships (Sanford et al 2021).…”

Section: Discussionmentioning

confidence: 99%

“…There are increasing calls for the establishment of cross-sector collaborations to address complex health inequities that are often linked to the social determinants of health (Baum et al 2022). Cross-sectoral collaborations are considered necessary to address the complex interplay of health, social and environmental determinants that impact marginalised and disadvantaged populations (Lo and Lockwood 2022). Addressing concerns requires systems level integration which typically happens by strengthening connections (McGihon et al 2018).…”

Section: Introductionmentioning

confidence: 99%

A collaborative primary health care model for children and young people in rural Australia: explorations of cross-sectoral leader action

Randall,

White,

Dennis

2023

Aust. J. Prim. Health

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Background Cross-sectoral collaborations are considered necessary to address detrimental health, social, educational and economic outcomes that impact marginalised and disadvantaged populations. There is a strong relationship between the health of children and their educational attainment; good health promotes positive learning. This paper reports cross-sectoral executive and senior management level systems changes required to enable the design of a collaborative primary healthcare service model for children and young people in rural Australia. Methods A descriptive qualitative design was used. Data were collected from executive and senior managers from three organisations (Education, Health and a University Department of Rural Health [n = 6]) through individual semi-structured interviews. Data were analysed using an inductive, thematic approach. The study draws on Lewin’s Model of Change. Results Three overarching themes were generated from the data: an embedded challenge and experimental solutions; building a shared language and understanding; and the role of relationships and trust. Despite the unique geographical and social context of the study area, strategies emerged from the data on how a solution to an embedded challenge, through design of a primary healthcare model, was established and how the strategies described could be transferred and scaled to other rural and remote communities. Conclusion Contextual differences make each rural and remote area unique. In this study, strategies that are described in the managing change literature were evident. The authors conclude that drawing on strong management of change principles could mean that a service model designed for one remote community might be transferrable to other communities.

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It's all about relationships: Developing nurse‐led primary health care in rural communities

Randall,

Jones,

Hadaddan

et al. 2024

Nursing Inquiry

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The role of nurses in leading the design and delivery of primary health care services to address health inequities is growing in prominence, specifically in rural Australia. However, limited evidence exists to inform nurse‐led primary health care in this context. Based on a focus group with nursing executives and semi‐structured interviews with registered nurses we describe nurse experiences of leading the design of a primary health care service in rural Australia and nurse transition to and practice in this service. Nurse experiences were analysed using reflexive thematic analysis. The study reveals the centrality of relational integration in service design and nurse acquisition of relational practice as it relates to nurse to care recipient and nurse to nurse relationships. Tensions between primary health care nurses and their peers, and resultant de‐valuing of primary health care practice, are described. The acquisition of nurse professional agency draws attention to investments required to position nurses to lead and sustain care innovations external to hospital settings. The authors propose that relational approaches may provide nurses with the opportunity to reframe their leadership and service contributions towards community literate primary health care provision and provide a pathway to professional emancipation from constrained practice expectations.

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Improving cross-sector collaborations in place-based population health projects

Cited by 3 publications

References 38 publications

A Health Systems Policy Framework on “How to” Build Cross-Sector Collaboration: Perspectives From Health Administrators and Leaders

A Health Systems Policy Framework on “How to” Build Cross-Sector Collaboration: Perspectives From Health Administrators and Leaders

A collaborative primary health care model for children and young people in rural Australia: explorations of cross-sectoral leader action

It's all about relationships: Developing nurse‐led primary health care in rural communities

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