Many health care organizations have begun to pursue collaborative approaches for addressing community-level health issues.
To understand how these community health alliances develop and operate, a descriptive study was conducted within a nationally selected group of 60 local communities and supplemented by detailled case studies in 8 communities.
Alliance models : A broad array of organizations were found to participate in community health alliances.
Moreover, alliances were found to vary considerably.
Strategically, alliances focused on one of three primary objectives :
acquiring needed organizational knowledge and skills ;
adressing common resource needs ;
and pursuing a shared organizational mission.
Functionally, alliances were observed in the areas of service delivery, planning and policy development, surveilllance and assessment, and education and outreach.
Structurally, alliances were found to operate through one of four interorganizational arrangements : informal collaboration, contractual agreements, shared governance, and shared ownership.
Alliance development : Organizational characteristics such as ownership type, organizational proximity, and market share appear to be important in the development of community health alliances.
Community and market characteristics-including health resource availability, HMO penetration, and market consolidation-also appear to be influential in alliance development. (...)
Mots-clés Pascal : Coopération, Gouvernement, Coopération internationale, Santé publique, Information, Santé, Amélioration, Processus, Méthodologie, Santé communautaire, Observation, Politique internationale, Politique sanitaire
Mots-clés Pascal anglais : Cooperation, Government, International cooperation, Public health, Information, Health, Improvement, Process, Methodology, Community health, Observation, International policy, Health policy
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 19/02/1999.