P K Halverson1, G P Mays, A D Kaluzny. 1. Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Ga., USA.
Abstract
OBJECTIVES: This study examines organizational characteristics and market conditions likely to influence collaborative relationships between public health agencies and community medical care providers. METHODS: Public health directors in 60 US counties were surveyed by telephone concerning their relationships with area community hospitals (n = 263) and community health centers (n = 85). Multivariate models were used to estimate the effects of organizational and market characteristics on collaboration. RESULTS: Collaboration was reported among 55% of the hospitals and 64% of the health centers. Certain forms of collaboration were more likely in markets characterized by higher HMO penetration and lower HMO competition. CONCLUSIONS: Targeted efforts to facilitate collaboration may be required in settings where institutional and market incentives are lacking.
OBJECTIVES: This study examines organizational characteristics and market conditions likely to influence collaborative relationships between public health agencies and community medical care providers. METHODS: Public health directors in 60 US counties were surveyed by telephone concerning their relationships with area community hospitals (n = 263) and community health centers (n = 85). Multivariate models were used to estimate the effects of organizational and market characteristics on collaboration. RESULTS: Collaboration was reported among 55% of the hospitals and 64% of the health centers. Certain forms of collaboration were more likely in markets characterized by higher HMO penetration and lower HMO competition. CONCLUSIONS: Targeted efforts to facilitate collaboration may be required in settings where institutional and market incentives are lacking.
Authors: Glen P Mays; Megan C McHugh; Kyumin Shim; Natalie Perry; Dennis Lenaway; Paul K Halverson; Ramal Moonesinghe Journal: Am J Public Health Date: 2006-01-31 Impact factor: 9.308
Authors: Dennis Lenaway; Paul Halverson; Sergey Sotnikov; Hugh Tilson; Liza Corso; Wayne Millington Journal: Am J Public Health Date: 2006-01-31 Impact factor: 9.308