sábado, 10 de diciembre de 2011

Improving Public Health System Performance Through Multiorganizational Partnerships :: Preventing Chronic Disease: November 2010: 10_0088

SPECIAL TOPIC
Improving Public Health System Performance Through Multiorganizational Partnerships

Suggested citation for this article: Mays GP, Scutchfield FD. Improving public health system performance through multiorganizational partnerships. Prev Chronic Dis 2010;7(6):A116. http://www.cdc.gov/pcd/issues/2010/nov/10_0088.htm. Accessed [date].
PEER REVIEWED

Abstract
Public health activities in the United States are delivered through multiple public and private organizations that vary widely in their resources, missions, and operations. Without strong coordination mechanisms, these delivery arrangements may perpetuate large gaps, inequities, and inefficiencies in public health activities. We examined evidence and uncertainties concerning the use of partnerships to improve the performance of the public health system, with a special focus on partnerships between public health agencies and health care organizations. We found that the types of partnerships likely to have the largest and most direct effects on population health are among the most difficult, and therefore least prevalent, forms of collaboration. High opportunity costs and weak and diffuse participation incentives hinder partnerships that focus on expanding effective prevention programs and policies. Targeted policy actions and leadership strategies are required to illuminate and enhance partnership incentives.


full-text:
Preventing Chronic Disease: November 2010: 10_0088



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SPECIAL TOPIC
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ESSAY
ERRATUM

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