Retooling the Workforce for Collaboration: Centering Collective Efficacy in Public Health and Primary Care Leadership Development.
Enhanced integration of public health and primary care sectors is necessary to advance population health equity. Integration requires engagement from leaders adept at working collaboratively, yet barriers persist. While leadership development has been a promising means to address interpersonal obsta...
| Published in: | American Journal of Public Health Vol. 115; no. 12; pp. 2006 - 2015 |
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| Main Authors: | , |
| Format: | Article |
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American Public Health Association
Dec2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189253888&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189253888 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2025 vid: 115 iid: 12 pid: 44 pub: American Public Health Association artinfo: ui: 189253888 10.2105/AJPH.2025.308216 ppf: 2006 ppct: 9 formats: tig: atl: Retooling the Workforce for Collaboration: Centering Collective Efficacy in Public Health and Primary Care Leadership Development. aug: au: Martelino, Janelle Zamora Bekemeier, Betty affil: Janelle Z. Martelino was with the School of Nursing, University of Washington, Seattle, at the time of this study. Betty Bekemeier is with the Department of Child, Family and Population Health, School of Nursing, and the Northwest Center for Public Health Practice, School of Public Health, both at the University of Washington, Seattle. su: Health services accessibility Professionalism Teams in the workplace Community health services Medical personnel Interprofessional relations Primary health care Leadership Confidence Goal (Psychology) Institutional cooperation Communication Trust Public health Commitment (Psychology) Cooperativeness Labor supply Management styles Collective efficacy Public health administration Conceptual structures Professional competence sug: subj: Health services accessibility Professionalism Teams in the workplace Community health services Medical personnel Interprofessional relations Primary health care Leadership Confidence Goal (Psychology) Institutional cooperation Communication Trust Public health Commitment (Psychology) Cooperativeness Labor supply Community health centres All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Other local, municipal and regional public administration Temporary Help Services Health and Welfare Funds Administration of Public Health Programs Management styles Collective efficacy Public health administration Conceptual structures Professional competence ab: Enhanced integration of public health and primary care sectors is necessary to advance population health equity. Integration requires engagement from leaders adept at working collaboratively, yet barriers persist. While leadership development has been a promising means to address interpersonal obstacles, traditional approaches typically focus on teaching discipline-based cognitive skills while underplaying communication, relational, and affective skills that leaders need to excel in increasingly networked and collaborative organizations. Building on previous efforts to foster collaborative leadership in public health, we propose a framework to support the intentional development of collective leadership among public health and primary care professionals. The framework emphasizes collaborative leader behaviors, collective efficacy, and collective performance, and it acknowledges the critical interactions among team members with diverse expertise. It also conceptualizes leadership as a dynamic, shared process among members rather than focusing on a defined person. We offer recommendations for incorporating this framework into intersectoral leadership development programs to strengthen the collective abilities of the workforce and accelerate integration across sectors. (Am J Public Health. 2025;115(12): 2006–2014. https://doi.org/10.2105/AJPH.2025.308216) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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