Table 4 Organizational Influencing Factors and Elements in PC and PH Collaboration: Comparison between Study Results and Scoping Review Results [12]
From: Organizational factors influencing successful primary care and public health collaboration
Organizational Level Influencing Factors | Elements of Each Factor from this Study | Comparable Scoping Review Results (Factors and related descriptors) |
|---|---|---|
1. Clear Mandates Vision and Goals | • Clear mandate for collaboration • Congruent focus • Formal agreements • Organizational structures that enable collaboration • Role delineation | Lack of a common agenda • Lack of a common agenda or vision • Different focus • Lack of joint planning Leadership, management and accountability issues • Contractual agreements • Designated staff supporting collaboration • Supportive job descriptions |
2. Strategic Coordination and Communication Mechanisms between Partners | • Formalized communication processes • Strategic plan development by partners • Coordinated clinical and administrative services • Exchange of client/health information | Shared protocols, tools and information sharing • Shared standardized information systems • Shared protocols re: practice, quality assurance, data collection and dissemination |
3. Formal Organizational Leaders as Collaborative Champions | • Ability to move towards a common goal • Leadership buy-in to collaboration • Transformative leadership qualities and skills | Leadership, management and accountability issues • Change management • Optimal functioning of healthcare providers • Stable, diverse teams • Management training for supporting collaborative teams |
4. Collaborative Organizational Culture | • Valuing the work of the other sector • Organizational readiness for collaboration • Avoiding turf protection | Lack of a common agenda • Lack of organizational support • Differences in organizational culture • Devaluing PH activities |
5. Optimal Use of Resources | • Investment of resources to initiate and maintain collaboration • Funding mechanisms • Geographic proximity of partners • Time for working on collaboration | Knowledge and resource limitations • Financial Resources • Space limitations • Lack of time for collaboration Geographic proximity of partners • Co-location to facilitate communication, information exchange, trust |
6. Optimal Use of Human resources | • Matched professional skills to needs • Professionals work to optimal scope of practice • Organizational mandates enable working to optimal scope of practice • Flexible, accommodating application of skill sets | Knowledge and resource limitations • Human Resources • Needs assessment skills in PH Leadership, management and accountability • Optimal functioning of healthcare providers • Stable, diverse teams • Administrative support |
7. Collaborative Approaches to Programs and Services Delivery | • Engaged community • Client-centred approach • Inter-professional teams, • Integrated or coordinated programs and services between public health and primary care | Leadership, management and accountability issues • Community based committees with diverse membership • Community engagement • Involvement of multiple professionals |