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Am J Public Health. 2000 Dec;90(12):1913-6.

Working together? Organizational and market determinants of collaboration between public health and medical care providers.

Author information

1
Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Ga., USA.

Abstract

OBJECTIVES:

This study examines organizational characteristics and market conditions likely to influence collaborative relationships between public health agencies and community medical care providers.

METHODS:

Public health directors in 60 US counties were surveyed by telephone concerning their relationships with area community hospitals (n = 263) and community health centers (n = 85). Multivariate models were used to estimate the effects of organizational and market characteristics on collaboration.

RESULTS:

Collaboration was reported among 55% of the hospitals and 64% of the health centers. Certain forms of collaboration were more likely in markets characterized by higher HMO penetration and lower HMO competition.

CONCLUSIONS:

Targeted efforts to facilitate collaboration may be required in settings where institutional and market incentives are lacking.

PMID:
11111265
PMCID:
PMC1446432
[Indexed for MEDLINE]
Free PMC Article

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