Systems change as an outcome and a process in the work of community collaboratives for health

The widespread development of comprehensive community initiatives that aim to improve community health is driven by the need to change the systems charged with delivering the services and creating the policies related to a variety of health outcomes. Georgia's Family Connection initiative is th...

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Veröffentlicht in:American journal of community psychology 2007-06, Vol.39 (3-4), p.255-267
Hauptverfasser: Emshoff, James G., Darnell, Adam J., Darnell, Doyanne A., Erickson, Steve W., Schneider, Stan, Hudgins, Rebekah
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container_end_page 267
container_issue 3-4
container_start_page 255
container_title American journal of community psychology
container_volume 39
creator Emshoff, James G.
Darnell, Adam J.
Darnell, Doyanne A.
Erickson, Steve W.
Schneider, Stan
Hudgins, Rebekah
description The widespread development of comprehensive community initiatives that aim to improve community health is driven by the need to change the systems charged with delivering the services and creating the policies related to a variety of health outcomes. Georgia's Family Connection initiative is the nation's largest statewide network of community collaboratives for health, with collaboratives operating in 159 counties. Data on community context, collaborative processes, engagement in systems change, and changes in programs and activities implemented, gathered consistently at the collaborative level over 3 years, will be used to answer the following questions. How do community contexts and the structure and processes of collaboratives affect implementation of systems change? How do systems changes affect intermediate outcomes such as the type of programs offered in a community? Longitudinal change in systems change and program implementation is described and significant predictors of between‐collaborative variation in longitudinal change for each outcome are identified.
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subjects Collaboratives
Community Change
Community health
Community health care
Community Networks - organization & administration
Community organizations
Community Services
Community-Institutional Relations
Comprehensive community initiatives
Cooperation
Health Care Services
Health Care Services Policy
Health initiatives
Health Promotion
Health status
Human services
Humans
Organizational change
Organizational Innovation
Professional-Family Relations
Program Implementation
Public health
Social Change
Systems approach
Systems change
United States
title Systems change as an outcome and a process in the work of community collaboratives for health
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