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Exploring Changes in Interagency Collaboration Following AIDS United's Positive Charge
Background. Many out-of-care people living with HIV have unmet basic needs and are served by loosely connected agencies. Prior research suggests that increasing agencies' coordination may lead to higher quality and better coordinated care. This study examines four U.S. interagency networks in A...
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Published in: | Health education & behavior 2016-12, Vol.43 (6), p.674 |
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creator | Jain, Kriti M Maulsby, Cathy Kinsky, Suzanne Khosla, Nidhi Charles, Vignetta Riordan, Maura Holtgrave, David R |
description | Background. Many out-of-care people living with HIV have unmet basic needs and are served by loosely connected agencies. Prior research suggests that increasing agencies' coordination may lead to higher quality and better coordinated care. This study examines four U.S. interagency networks in AIDS United's HIV linkage and retention in care program. This study explores changes in the networks of implementing agencies. Methods. Each network included a lead agency and collaborators. One administrator and service provider per agency completed an online survey about collaboration prior to and during Positive Charge. We measured how many organizations were connected to one another through density, or the proportion of reported connections out of all possible connections between organizations. Network centralization was measured to investigate whether this network connectivity was due to one or more highly connected organizations or not. To compare collaboration by type, density and centralization were calculated for any collaboration and specific collaboration types: technical assistance, shared resources, information exchange, and boosting access. To characterize the frequency of collaboration, we examined how often organizations interacted by "monthly or greater" versus "less than monthly." Results. Density increased in all networks. Density was highest for information exchange and referring clients. When results were restricted to "monthly or greater," the densities of all networks were lower. Conclusions. This study suggests that a targeted linkage to care initiative may increase some collaboration types among organizations serving people living with HIV. It also provides insights to policy makers about how such networks may evolve. |
doi_str_mv | 10.1177/1090198116629422 |
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Many out-of-care people living with HIV have unmet basic needs and are served by loosely connected agencies. Prior research suggests that increasing agencies' coordination may lead to higher quality and better coordinated care. This study examines four U.S. interagency networks in AIDS United's HIV linkage and retention in care program. This study explores changes in the networks of implementing agencies. Methods. Each network included a lead agency and collaborators. One administrator and service provider per agency completed an online survey about collaboration prior to and during Positive Charge. We measured how many organizations were connected to one another through density, or the proportion of reported connections out of all possible connections between organizations. Network centralization was measured to investigate whether this network connectivity was due to one or more highly connected organizations or not. To compare collaboration by type, density and centralization were calculated for any collaboration and specific collaboration types: technical assistance, shared resources, information exchange, and boosting access. To characterize the frequency of collaboration, we examined how often organizations interacted by "monthly or greater" versus "less than monthly." Results. Density increased in all networks. Density was highest for information exchange and referring clients. When results were restricted to "monthly or greater," the densities of all networks were lower. Conclusions. This study suggests that a targeted linkage to care initiative may increase some collaboration types among organizations serving people living with HIV. It also provides insights to policy makers about how such networks may evolve.</description><identifier>ISSN: 1090-1981</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/1090198116629422</identifier><language>eng</language><publisher>Thousand Oaks: SAGE PUBLICATIONS, INC</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Centralization ; Collaboration ; Cooperation ; Coordination ; Density ; Health care delivery ; HIV ; Human immunodeficiency virus ; In care ; Information sharing ; Interagency collaboration ; Networks ; Online Surveys ; Organizations ; Policy making ; Retention ; Technical assistance ; Unmet needs</subject><ispartof>Health education & behavior, 2016-12, Vol.43 (6), p.674</ispartof><rights>2016 Society for Public Health Education</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c757-b979564de800f13f5c608de75b851853fc0ca2e04054c52065275417064d5de63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids></links><search><creatorcontrib>Jain, Kriti M</creatorcontrib><creatorcontrib>Maulsby, Cathy</creatorcontrib><creatorcontrib>Kinsky, Suzanne</creatorcontrib><creatorcontrib>Khosla, Nidhi</creatorcontrib><creatorcontrib>Charles, Vignetta</creatorcontrib><creatorcontrib>Riordan, Maura</creatorcontrib><creatorcontrib>Holtgrave, David R</creatorcontrib><title>Exploring Changes in Interagency Collaboration Following AIDS United's Positive Charge</title><title>Health education & behavior</title><description>Background. Many out-of-care people living with HIV have unmet basic needs and are served by loosely connected agencies. Prior research suggests that increasing agencies' coordination may lead to higher quality and better coordinated care. This study examines four U.S. interagency networks in AIDS United's HIV linkage and retention in care program. This study explores changes in the networks of implementing agencies. Methods. Each network included a lead agency and collaborators. One administrator and service provider per agency completed an online survey about collaboration prior to and during Positive Charge. We measured how many organizations were connected to one another through density, or the proportion of reported connections out of all possible connections between organizations. Network centralization was measured to investigate whether this network connectivity was due to one or more highly connected organizations or not. To compare collaboration by type, density and centralization were calculated for any collaboration and specific collaboration types: technical assistance, shared resources, information exchange, and boosting access. To characterize the frequency of collaboration, we examined how often organizations interacted by "monthly or greater" versus "less than monthly." Results. Density increased in all networks. Density was highest for information exchange and referring clients. When results were restricted to "monthly or greater," the densities of all networks were lower. Conclusions. This study suggests that a targeted linkage to care initiative may increase some collaboration types among organizations serving people living with HIV. It also provides insights to policy makers about how such networks may evolve.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Centralization</subject><subject>Collaboration</subject><subject>Cooperation</subject><subject>Coordination</subject><subject>Density</subject><subject>Health care delivery</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>In care</subject><subject>Information sharing</subject><subject>Interagency collaboration</subject><subject>Networks</subject><subject>Online Surveys</subject><subject>Organizations</subject><subject>Policy making</subject><subject>Retention</subject><subject>Technical assistance</subject><subject>Unmet needs</subject><issn>1090-1981</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNotjU1PwzAMhiMEEmNw5xiJA6eCndZJc5zKBpUmgcTgOvUjLZ2qZCQdjH9PKzjZ1vP6eRm7RrhDVOoeQQPqFFFKoRMhTtgMiUQkUajTcR9xNPFzdhHCDgCkBpqx9-Vx3zvf2ZZnH4VtTeCd5bkdjC9aY6sfnrm-L0rni6Fzlq_Gy31P8UX-8MrfbDeY-jbwFxe6ofsyk8W35pKdNUUfzNX_nLPNarnJnqL182OeLdZRpUhFpVaaZFKbFKDBuKFKQlobRWVKmFLcVFAVwkAClFQkQJJQlKCC8YdqI-M5u_nT7r37PJgwbHfu4O3YuMU01pNcqfgX04BROA</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Jain, Kriti M</creator><creator>Maulsby, Cathy</creator><creator>Kinsky, Suzanne</creator><creator>Khosla, Nidhi</creator><creator>Charles, Vignetta</creator><creator>Riordan, Maura</creator><creator>Holtgrave, David R</creator><general>SAGE PUBLICATIONS, INC</general><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20161201</creationdate><title>Exploring Changes in Interagency Collaboration Following AIDS United's Positive Charge</title><author>Jain, Kriti M ; Maulsby, Cathy ; Kinsky, Suzanne ; Khosla, Nidhi ; Charles, Vignetta ; Riordan, Maura ; Holtgrave, David R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c757-b979564de800f13f5c608de75b851853fc0ca2e04054c52065275417064d5de63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Centralization</topic><topic>Collaboration</topic><topic>Cooperation</topic><topic>Coordination</topic><topic>Density</topic><topic>Health care delivery</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>In care</topic><topic>Information sharing</topic><topic>Interagency collaboration</topic><topic>Networks</topic><topic>Online Surveys</topic><topic>Organizations</topic><topic>Policy making</topic><topic>Retention</topic><topic>Technical assistance</topic><topic>Unmet needs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jain, Kriti M</creatorcontrib><creatorcontrib>Maulsby, Cathy</creatorcontrib><creatorcontrib>Kinsky, Suzanne</creatorcontrib><creatorcontrib>Khosla, Nidhi</creatorcontrib><creatorcontrib>Charles, Vignetta</creatorcontrib><creatorcontrib>Riordan, Maura</creatorcontrib><creatorcontrib>Holtgrave, David R</creatorcontrib><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Health education & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jain, Kriti M</au><au>Maulsby, Cathy</au><au>Kinsky, Suzanne</au><au>Khosla, Nidhi</au><au>Charles, Vignetta</au><au>Riordan, Maura</au><au>Holtgrave, David R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring Changes in Interagency Collaboration Following AIDS United's Positive Charge</atitle><jtitle>Health education & behavior</jtitle><date>2016-12-01</date><risdate>2016</risdate><volume>43</volume><issue>6</issue><spage>674</spage><pages>674-</pages><issn>1090-1981</issn><eissn>1552-6127</eissn><abstract>Background. Many out-of-care people living with HIV have unmet basic needs and are served by loosely connected agencies. Prior research suggests that increasing agencies' coordination may lead to higher quality and better coordinated care. This study examines four U.S. interagency networks in AIDS United's HIV linkage and retention in care program. This study explores changes in the networks of implementing agencies. Methods. Each network included a lead agency and collaborators. One administrator and service provider per agency completed an online survey about collaboration prior to and during Positive Charge. We measured how many organizations were connected to one another through density, or the proportion of reported connections out of all possible connections between organizations. Network centralization was measured to investigate whether this network connectivity was due to one or more highly connected organizations or not. To compare collaboration by type, density and centralization were calculated for any collaboration and specific collaboration types: technical assistance, shared resources, information exchange, and boosting access. To characterize the frequency of collaboration, we examined how often organizations interacted by "monthly or greater" versus "less than monthly." Results. Density increased in all networks. Density was highest for information exchange and referring clients. When results were restricted to "monthly or greater," the densities of all networks were lower. Conclusions. This study suggests that a targeted linkage to care initiative may increase some collaboration types among organizations serving people living with HIV. It also provides insights to policy makers about how such networks may evolve.</abstract><cop>Thousand Oaks</cop><pub>SAGE PUBLICATIONS, INC</pub><doi>10.1177/1090198116629422</doi></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); Sage Journals Online; JSTOR |
subjects | Acquired immune deficiency syndrome AIDS Centralization Collaboration Cooperation Coordination Density Health care delivery HIV Human immunodeficiency virus In care Information sharing Interagency collaboration Networks Online Surveys Organizations Policy making Retention Technical assistance Unmet needs |
title | Exploring Changes in Interagency Collaboration Following AIDS United's Positive Charge |
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