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Interorganizational Health Networks as Agents for Systems Change

CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS. Interorganizational Health Networks as Agents for Systems Change. Charmaine McPherson, St. Francis Xavier University Ann Casebeer, University of Calgary Anita Kothari, University of Western Ontario

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Interorganizational Health Networks as Agents for Systems Change

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  1. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Interorganizational Health Networks as Agents for Systems Change Charmaine McPherson, St. Francis Xavier University Ann Casebeer, University of Calgary Anita Kothari, University of Western Ontario Janice Popp, Southern Alberta Child & Youth Health Network on behalf of Child & Youth Health Networks of Canada Research Team

  2. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Context • Child & Youth Health Networks of Canada • What are interorganizational health networks? • Desired impacts • Increasing system responsiveness

  3. Context CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Child & Youth Health Networks of Canada • Formed in 2001 • Pan-Canadian scope • Network practitioners • Researchers invited to join • Lack of evidence to guide practice

  4. Interdisciplinary Research Team CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Dennise Albrecht, Eastern Ontario Child Health Network • Marilyn Booth, Ontario Child Network • Ann Casebeer, University of Calgary • Tim Huerta, University of Texas • Anita Kothari, University of Western Ontario • Ron Lindstrom, Consultant, BC • Charmaine McPherson, St. Francis Xavier University • Brint Milward, University of Arizona • Janice Popp, Southern Alberta Child & Youth Health Network • Keith Provan, University of Arizona

  5. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Strategic Directions • Promoting knowledge exchange regarding networks • Supporting colleagues in network practice • Developing network evaluation strategies

  6. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Definition Interorganizational network: “A network is a set of autonomous organizations that come together to reach goals that none of them can reach separately” (Chisholm, 1998, p. xxi) Trist’s (1983) socio-ecological approach

  7. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Various uses of the term network abound in both government documents and the scholarly literature, and network organizations may vary greatly by purpose or function (Chisholm, 1996; Hayward, 2006).

  8. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Growing interest in networks • Alberta Heritage Foundation for Medical Research (2005, 2006) • Canadian Health Services Research Foundation (2005, 2006, 2007) • Canadian Institutes of Health Research (2007) • Michael Smith Foundation for Health Research (2005)

  9. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Ample discussion of interorganizational network concept (Brass, Galaskiewicz, Greve, & Tsai, 2004; Chisholm, 1996, 1998; Keast, Mandell, Brown & Woolcock, 2004; Podolny & Page, 1998; Provan & Milward, 2001; Sydow, 2004) • health coalition concept (Butterfoss & Francisco, 2004; Farley et al., 2003; Green & Kreuter, 2002; Greenberg, Feinberg, & Gomez, 2005; Kuhn, Doucet, & Edwards, 1999; Wandersman, Goodman, & Butterfoss,1997)

  10. Health Network Change Strategies CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Engagement of multiple sectors Facilitates responses across jurisdictions Intervention on global, political, socio-cultural & environmental forces

  11. Practice Example: Youth Health CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Youth sexual health, mental health, addictions, routine developmental issues • Cross-sectoral and interdisciplinary approach with school-based YOUTH HEALTH CENTRES

  12. Practice Example: Child Poverty CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Built into network strategic plan • Video on child poverty developed with utilization strategy • Anti-child poverty principles endorsed by network member agencies • Commitment to sensitization, discussion e.g., using child poverty lens in all project planning

  13. Legitimate Network Outcomes CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Primary targets are the network member agencies, not individual clients • Tension between reality and research and policy expectations to demonstrate impacts at the client level

  14. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS • Provan and Milward (1996, 2001) • Network outcomes measured at • Community/societal level • Network organizational level * • Individual (network member) level • NOT push towards linking client health outcomes to the network organization

  15. CPHA 2008 June 1-4, 2008 Halifax, NS

  16. CPHA 2008 Reducing Inequities June 1-4, 2008 Halifax, NS Charmaine McPherson, RN, PhD (student) McMaster University and St. Francis Xavier University (902)863-0934 cmcpherso@stfx.ca

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