Evidence map›Paper›PMID 37867323›Full record

ArticleHealth services research2024

Financing community partnerships for health equity: Findings and insights from cross-sector professionals.

John Hoornbeek, Edward T Chiyaka, Bethany Lanese, Amy Vreeland, Joshua Filla

Abstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John HoornbeekHealth Policy and Management, Center for Public Policy and Health, College of Public Health, Kent State University, Kent, Ohio, USA.ORCID 0000-0001-5796-2532
Edward T ChiyakaDepartment of Social Sciences and Outpatient Practice, School of Pharmacy, Wingate University, Wingate, North Carolina, USA.ORCID 0000-0003-0150-8351
Bethany LaneseHealth Policy and Management, Center for Public Policy and Health, College of Public Health, Kent State University, Kent, Ohio, USA.ORCID 0000-0003-4941-1890
Amy VreelandSocial Care Advisors, Waban, Massachusetts, USA.ORCID 0000-0002-3468-694X
Joshua FillaCenter for Public Policy and Health, College of Public Health, Kent State University, Kent, Ohio, USA.

Funding

Robert Wood Johnson Foundation - via Georgia Health Policy Center Subaward Number SP00013706-12Robert Wood Johnson Foundation - via Georgia Health Policy Center Subaward Number SP0013706-02
6 · The paper itself

Abstract

objectiveTo enhance understanding of financial alignment challenges facing cross-sector partnerships (CSPs) pursuing health equity and offer insights to guide research and practice. DATA SOURCES AND STUDY

settingWe collected data through surveys and interviews with cross-sector professionals in 16 states, 2020-2021. STUDY

designWe surveyed 51 CSP leaders and received 26 responses. Following administration of the surveys to CSP leaders, we also conducted interviews with cross-sector professionals. The data are analyzed descriptively, comparatively, and qualitatively using thematic analysis. DATA COLLECTION/EXTRACTION

methodsFor quantitative survey data, we compare partnership responses, differentiating perceived levels of alignment among partnerships certified by the Pathways Community HUB Institute (PCHI), partnerships interested in certification, and partnerships without connection to the PCHI® Model of care coordination. For interviews, we engaged CSP professionals and those who fund their work. Two research team members took notes for interviews, which were combined and made available for review by those interviewed. Data were analyzed independently by two team members who met to integrate, identify, and finalize thematic findings. PRINCIPAL

findingsOur work supports previous findings that financing is a challenge for CSPs, while also suggesting that PCHI-certified partnerships may perceive greater progress in financial alignment than others. We identify four major financial barriers: limited and competitive funding; state health service delivery structures; cultural and practice divides across healthcare, social service, and public health sectors; and needs for further evidence of cross-sector service impacts on client health and costs. We also offer a continuum of measures of financial sustainability progress and identify key issues relating to financial incentivization/accountability.

conclusionFindings suggest a need for public policy reviews and improvements to aid CSPs in addressing financial alignment challenges. We also offer a measurement framework and ideas to guide research and practice on financial alignment, based on empirical data.

Indexed as

Health EquityDelivery of Health CareHumansSocial Workdeterminants of health/population health/socioeconomic causes of healthhealthcare organizations and systemshealth disparitieshealth equitysocial determinants of healthstate health policies

Identifiers

PMID37867323
PMCPMC10796277

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.