Cargando…

Multisector Health Policy Networks in 15 Large US Cities

Local health departments (LHDs) have historically not prioritized policy development, although it is one of the 3 core areas they address. One strategy that may influence policy in LHD jurisdictions is the formation of partnerships across sectors to work together on local public health policy. DESIG...

Descripción completa

Detalles Bibliográficos
Autores principales: Harris, Jenine K., Leider, J. P., Carothers, Bobbi J., Castrucci, Brian C., Hearne, Shelley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049964/
https://www.ncbi.nlm.nih.gov/pubmed/26910868
http://dx.doi.org/10.1097/PHH.0000000000000401
_version_ 1782457814665396224
author Harris, Jenine K.
Leider, J. P.
Carothers, Bobbi J.
Castrucci, Brian C.
Hearne, Shelley
author_facet Harris, Jenine K.
Leider, J. P.
Carothers, Bobbi J.
Castrucci, Brian C.
Hearne, Shelley
author_sort Harris, Jenine K.
collection PubMed
description Local health departments (LHDs) have historically not prioritized policy development, although it is one of the 3 core areas they address. One strategy that may influence policy in LHD jurisdictions is the formation of partnerships across sectors to work together on local public health policy. DESIGN: We used a network approach to examine LHD local health policy partnerships across 15 large cities from the Big Cities Health Coalition. SETTING/PARTICIPANTS: We surveyed the health departments and their partners about their working relationships in 5 policy areas: core local funding, tobacco control, obesity and chronic disease, violence and injury prevention, and infant mortality. OUTCOME MEASURES: Drawing on prior literature linking network structures with performance, we examined network density, transitivity, centralization and centrality, member diversity, and assortativity of ties. RESULTS: Networks included an average of 21.8 organizations. Nonprofits and government agencies made up the largest proportions of the networks, with 28.8% and 21.7% of network members, whereas for-profits and foundations made up the smallest proportions in all of the networks, with just 1.2% and 2.4% on average. Mean values of density, transitivity, diversity, assortativity, centralization, and centrality showed similarity across policy areas and most LHDs. The tobacco control and obesity/chronic disease networks were densest and most diverse, whereas the infant mortality policy networks were the most centralized and had the highest assortativity. Core local funding policy networks had lower scores than other policy area networks by most network measures. CONCLUSION: Urban LHDs partner with organizations from diverse sectors to conduct local public health policy work. Network structures are similar across policy areas jurisdictions. Obesity and chronic disease, tobacco control, and infant mortality networks had structures consistent with higher performing networks, whereas core local funding networks had structures consistent with lower performing networks.
format Online
Article
Text
id pubmed-5049964
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Wolters Kluwer Health, Inc.
record_format MEDLINE/PubMed
spelling pubmed-50499642016-11-01 Multisector Health Policy Networks in 15 Large US Cities Harris, Jenine K. Leider, J. P. Carothers, Bobbi J. Castrucci, Brian C. Hearne, Shelley J Public Health Manag Pract Original Articles Local health departments (LHDs) have historically not prioritized policy development, although it is one of the 3 core areas they address. One strategy that may influence policy in LHD jurisdictions is the formation of partnerships across sectors to work together on local public health policy. DESIGN: We used a network approach to examine LHD local health policy partnerships across 15 large cities from the Big Cities Health Coalition. SETTING/PARTICIPANTS: We surveyed the health departments and their partners about their working relationships in 5 policy areas: core local funding, tobacco control, obesity and chronic disease, violence and injury prevention, and infant mortality. OUTCOME MEASURES: Drawing on prior literature linking network structures with performance, we examined network density, transitivity, centralization and centrality, member diversity, and assortativity of ties. RESULTS: Networks included an average of 21.8 organizations. Nonprofits and government agencies made up the largest proportions of the networks, with 28.8% and 21.7% of network members, whereas for-profits and foundations made up the smallest proportions in all of the networks, with just 1.2% and 2.4% on average. Mean values of density, transitivity, diversity, assortativity, centralization, and centrality showed similarity across policy areas and most LHDs. The tobacco control and obesity/chronic disease networks were densest and most diverse, whereas the infant mortality policy networks were the most centralized and had the highest assortativity. Core local funding policy networks had lower scores than other policy area networks by most network measures. CONCLUSION: Urban LHDs partner with organizations from diverse sectors to conduct local public health policy work. Network structures are similar across policy areas jurisdictions. Obesity and chronic disease, tobacco control, and infant mortality networks had structures consistent with higher performing networks, whereas core local funding networks had structures consistent with lower performing networks. Wolters Kluwer Health, Inc. 2016-11 2016-09-30 /pmc/articles/PMC5049964/ /pubmed/26910868 http://dx.doi.org/10.1097/PHH.0000000000000401 Text en © 2016 Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Original Articles
Harris, Jenine K.
Leider, J. P.
Carothers, Bobbi J.
Castrucci, Brian C.
Hearne, Shelley
Multisector Health Policy Networks in 15 Large US Cities
title Multisector Health Policy Networks in 15 Large US Cities
title_full Multisector Health Policy Networks in 15 Large US Cities
title_fullStr Multisector Health Policy Networks in 15 Large US Cities
title_full_unstemmed Multisector Health Policy Networks in 15 Large US Cities
title_short Multisector Health Policy Networks in 15 Large US Cities
title_sort multisector health policy networks in 15 large us cities
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049964/
https://www.ncbi.nlm.nih.gov/pubmed/26910868
http://dx.doi.org/10.1097/PHH.0000000000000401
work_keys_str_mv AT harrisjeninek multisectorhealthpolicynetworksin15largeuscities
AT leiderjp multisectorhealthpolicynetworksin15largeuscities
AT carothersbobbij multisectorhealthpolicynetworksin15largeuscities
AT castruccibrianc multisectorhealthpolicynetworksin15largeuscities
AT hearneshelley multisectorhealthpolicynetworksin15largeuscities