Multisector Health Policy Networks in 15 Large US Cities

Journal of Public Health Management and Practice : JPHMP
Jenine K HarrisShelley Hearne

Abstract

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. We used a network approach to examine LHD local health policy partnerships across 15 large cities from the Big Cities Health Coalition. 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. Drawing on prior literature linking network structures with performance, we examined network density, transitivity, centralization and centrality, member diversity, and assortativity of ties. 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 central...Continue Reading

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Citations

Apr 21, 2017·Public Health Reports·Jenine K HarrisPatrick Fowler
Oct 17, 2020·Journal of Health Organization and Management·Tyler ProchnowM Renee Umstattd Meyer
Mar 18, 2021·Journal of Public Health Management and Practice : JPHMP·Anna PetrovskisBetty Bekemeier

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