Impact of Closure of a Safety Net HIV Case Management Agency

Safety net healthcare agencies serve important roles within organizational networks, yet little research has examined the impact of their closure on other healthcare organizations. Using a case study approach, we explored the impact of the sudden closure of a prominent safety net HIV agency on other...

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Bibliographic Details
Published in:World medical and health policy 2015-06, Vol.7 (2), p.121-136
Main Authors: Khosla, Nidhi, Kennedy, Caitlin, Winch, Peter, Latkin, Carl, Marsteller, Jill
Format: Article
Language:English
Subjects:
Assets
Case management
collaboration
community health centers
health facility closure
Health policy
HIV service organizations
Homelessness
Human immunodeficiency virus
Legal aid
Management
network theory
organizational interdependence
safety net agencies
vulnerable populations
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Summary:Safety net healthcare agencies serve important roles within organizational networks, yet little research has examined the impact of their closure on other healthcare organizations. Using a case study approach, we explored the impact of the sudden closure of a prominent safety net HIV agency on other HIV service organizations and clients in a U.S. city. We conducted 23 key informant interviews and examined newspaper articles and agency publications. The agency's closure led to many clients being lost to the system, delays in care, and the loss of a caring community asset that provided unique services together (e.g., legal aid, showers, laundry, lockers for homeless people). Other organizations suffered since they had relied on the agency for case management services. Agencies should engage in transition planning and sustainability planning to ensure continuity of services. Policymakers must implement health system changes in a planned manner wherever possible.
ISSN:1948-4682
2153-2028
1948-4682
DOI:10.1002/wmh3.139