Governance Processes and Change Within Organizational Participants of Multi-sectoral Community Health Care Alliances: The Mediating Role of Vision, Mission, Strategy Agreement and Perceived Alliance Value.

Multi-sectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Long-term success and sustainability of alliances are dependent on...

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Publicado en:American Journal of Community Psychology Vol. 53; no. 1/2; pp. 185 - 198
Autores principales: Hearld, Larry R., Alexander, Jeffrey A.
Formato: Artículo
Publicado: Wiley-Blackwell Mar2014
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Governance Processes and Change Within Organizational Participants of Multi-sectoral Community Health Care Alliances: The Mediating Role of Vision, Mission, Strategy Agreement and Perceived Alliance Value.
      aug:
        au:
          Hearld, Larry R.
          Alexander, Jeffrey A.
        affil:
          Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, 3201 1st Avenue North, 35222, Birmingham AL, USA
          Department of Health Management and Policy, School of Public Health, The University of Michigan, 109 S. Observatory, 48109-2029, Ann Arbor MI, USA
      su:
        Social structure
        Medical care
        Decision making
        Social participation
        Social change
        Regional medical programs
        Military strategy
        International alliances
      sug:
        subj:
          Social structure
          Medical care
          Decision making
          Social participation
          Social change
          Community health centres
          Regional medical programs
          Military strategy
          International alliances
      keyword:
        Aligning forces for quality
        Governance processes
        Multi-sectoral community health alliances
        Participant change
        Perceived value of alliance
        Aligning forces for quality
        Governance processes
        Multi-sectoral community health alliances
        Participant change
        Perceived value of alliance
      ab: Multi-sectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Long-term success and sustainability of alliances are dependent on their ability to galvanize participants to take action within their 'home' organizations and institutionalize the vision, goals, and programs within participating organizations and the broader community. The purpose of this study was to investigate two mechanisms by which alliance leadership and management processes may promote such changes within organizations participating in alliances. The findings of the study suggest that, despite modest levels of change undertaken by participating organizations, more positive perceptions of alliance leadership, decision making, and conflict management were associated with a greater likelihood of participating organizations making changes as a result of their participation in the alliance, in part by promoting greater vision, mission, and strategy agreement and higher levels of perceived value. Leadership processes had a stronger relationship with change within participating organizations than decision-making style and conflict management processes. Open-ended responses by participants indicated that participating organizations most often incorporated new measures or goals into their existing portfolio of strategic plans and activities in response to alliance participation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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