成员参与多部门卫生保健联盟。

IF 1.6 Q3 HEALTH POLICY & SERVICES
Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-07-07 DOI:10.1177/09514848211028708
Larry R Hearld, Jeffrey Alexander, Yunfeng Shi, Laura J Wolf
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引用次数: 0

摘要

许多社区正在发展创新形式的协作组织,如多部门卫生保健联盟(mhca),以解决提供者、付款人和社区利益攸关方之间激励机制不一致的问题,并改善健康和卫生保健。成员参与对这些组织的成功至关重要,因为它们依赖于志愿者成员来制定和实施战略,并为联盟的努力提供物质和实物支持,然而,关于联盟如何促进参与的研究相对较少。本研究考察了成员参与的行为指标(例如,组织和个人成员的招募和保留),以及它们与联盟功能的两个基本维度——联盟领导和社区中心性——之间的关系。通过对来自14个联盟的联盟成员进行的三轮网络调查,该研究发现,随着时间的推移,组织招聘和保留的比例分别从26.6%上升到41.5%和56.0%上升到65.2%。在研究期间,个人的吸纳率上升了(从38.3%上升到47.2%),而个人的保留率下降了(从61.0%下降到53.2%)。联盟领导与较低水平的招募(包括组织和个人成员)有关,但与较高水平的组织保留(包括组织和个人成员)有关。总的来说,我们的研究结果表明,在留住成员方面,联盟的行为方面比相对稳定的特征(如规模和在社区中的定位)更有效。然而,招聘和保留之间的对比关系表明,在吸引新成员的同时保留现有成员可能需要不同形式的领导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Member engagement in multi-sector health care alliances.

Many communities are developing innovative forms of collaborative organizations such as multi-sector health care alliances (MHCAs) to address problems of misaligned incentives among providers, payers, and community stakeholders and improve health and health care. Member engagement is essential to the success of these organizations due to their dependence on volunteer members to develop and implement strategy and provide material and in-kind support for alliance efforts, yet relatively little research has examined how alliances can foster engagement. This study examined behavioral indicators of member engagement (e.g., recruitment and retention of organizational and individual members) and how they are related to two foundational dimensions of alliance functioning - alliance leadership and community centrality. Using three rounds of an internet-based survey of alliance members from 14 alliances, the study found that organizational recruitment and retention increased over time, from 26.6% to 41.5% and 56.0% to 65.2%, respectively. Recruitment of individuals increased over the study period (38.3% to 47.2%, while retention of individual members declined over the study period (61.0% to 53.2%). Alliance leadership was associated with lower levels of recruitment (both organizational and individual members) but higher levels of organizational retention (both organizational and individual members). Collectively, our findings suggest that behavioral aspects of alliances are more effective at retaining members than relatively stable characteristics such as size and positioning in the community. Contrasting relationships between recruitment and retention, however, suggest that different forms of leadership may be required to simultaneously attract new members while retaining existing ones.

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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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