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Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England

BACKGROUND: Increasingly, health policy-makers and managers all over the world look for alternative forms of organisation and governance in order to add more value and quality to their health systems. In recent years, the central government in England mandated several cross-sector health initiatives...

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Autores principales: Ovseiko, Pavel V, O’Sullivan, Catherine, Powell, Susan C, Davies, Stephen M, Buchan, Alastair M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263053/
https://www.ncbi.nlm.nih.gov/pubmed/25380727
http://dx.doi.org/10.1186/s12913-014-0552-y
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author Ovseiko, Pavel V
O’Sullivan, Catherine
Powell, Susan C
Davies, Stephen M
Buchan, Alastair M
author_facet Ovseiko, Pavel V
O’Sullivan, Catherine
Powell, Susan C
Davies, Stephen M
Buchan, Alastair M
author_sort Ovseiko, Pavel V
collection PubMed
description BACKGROUND: Increasingly, health policy-makers and managers all over the world look for alternative forms of organisation and governance in order to add more value and quality to their health systems. In recent years, the central government in England mandated several cross-sector health initiatives based on collaborative governance arrangements. However, there is little empirical evidence that examines local implementation responses to such centrally-mandated collaborations. METHODS: Data from the national study of Health Innovation and Education Clusters (HIECs) are used to provide comprehensive empirical evidence about the implementation of collaborative governance arrangements in cross-sector health networks in England. The study employed a mixed-methods approach, integrating both quantitative and qualitative data from a national survey of the entire population of HIEC directors (N = 17; response rate = 100%), a group discussion with 7 HIEC directors, and 15 in-depth interviews with HIEC directors and chairs. RESULTS: The study provides a description and analysis of local implementation responses to the central government mandate to establish HIECs. The latter represent cross-sector health networks characterised by a vague mandate with the provision of a small amount of new resources. Our findings indicate that in the case of HIECs such a mandate resulted in the creation of rather fluid and informal partnerships, which over the period of three years made partial-to-full progress on governance activities and, in most cases, did not become self-sustaining without government funding. CONCLUSION: This study has produced valuable insights into the implementation responses in HIECs and possibly other cross-sector collaborations characterised by a vague mandate with the provision of a small amount of new resources. There is little evidence that local dominant coalitions appropriated the central HIEC mandate to their own ends. On the other hand, there is evidence of interpretation and implementation of the central mandate by HIEC leaders to serve their local needs. These findings augur well for Academic Health Science Networks, which pick up the mantle of large-scale, cross-sector collaborations for health and innovation. This study also highlights that a supportive policy environment and sufficient time would be crucial to the successful implementation of new cross-sector health collaborations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-014-0552-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-42630532014-12-12 Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England Ovseiko, Pavel V O’Sullivan, Catherine Powell, Susan C Davies, Stephen M Buchan, Alastair M BMC Health Serv Res Research Article BACKGROUND: Increasingly, health policy-makers and managers all over the world look for alternative forms of organisation and governance in order to add more value and quality to their health systems. In recent years, the central government in England mandated several cross-sector health initiatives based on collaborative governance arrangements. However, there is little empirical evidence that examines local implementation responses to such centrally-mandated collaborations. METHODS: Data from the national study of Health Innovation and Education Clusters (HIECs) are used to provide comprehensive empirical evidence about the implementation of collaborative governance arrangements in cross-sector health networks in England. The study employed a mixed-methods approach, integrating both quantitative and qualitative data from a national survey of the entire population of HIEC directors (N = 17; response rate = 100%), a group discussion with 7 HIEC directors, and 15 in-depth interviews with HIEC directors and chairs. RESULTS: The study provides a description and analysis of local implementation responses to the central government mandate to establish HIECs. The latter represent cross-sector health networks characterised by a vague mandate with the provision of a small amount of new resources. Our findings indicate that in the case of HIECs such a mandate resulted in the creation of rather fluid and informal partnerships, which over the period of three years made partial-to-full progress on governance activities and, in most cases, did not become self-sustaining without government funding. CONCLUSION: This study has produced valuable insights into the implementation responses in HIECs and possibly other cross-sector collaborations characterised by a vague mandate with the provision of a small amount of new resources. There is little evidence that local dominant coalitions appropriated the central HIEC mandate to their own ends. On the other hand, there is evidence of interpretation and implementation of the central mandate by HIEC leaders to serve their local needs. These findings augur well for Academic Health Science Networks, which pick up the mantle of large-scale, cross-sector collaborations for health and innovation. This study also highlights that a supportive policy environment and sufficient time would be crucial to the successful implementation of new cross-sector health collaborations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-014-0552-y) contains supplementary material, which is available to authorized users. BioMed Central 2014-11-08 /pmc/articles/PMC4263053/ /pubmed/25380727 http://dx.doi.org/10.1186/s12913-014-0552-y Text en © Ovseiko et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ovseiko, Pavel V
O’Sullivan, Catherine
Powell, Susan C
Davies, Stephen M
Buchan, Alastair M
Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title_full Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title_fullStr Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title_full_unstemmed Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title_short Implementation of collaborative governance in cross-sector innovation and education networks: evidence from the National Health Service in England
title_sort implementation of collaborative governance in cross-sector innovation and education networks: evidence from the national health service in england
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263053/
https://www.ncbi.nlm.nih.gov/pubmed/25380727
http://dx.doi.org/10.1186/s12913-014-0552-y
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