College of Health Solutions (Drs Riley, Runger, and Pine and Ms Love) and College of Public Service and Community Solutions (Dr Shafer), Arizona State University, Phoenix, Arizona; and Colorado School of Public Health, Colorado University Anschutz, Aurora, Colorado (Dr Mays).
J Public Health Manag Pract. 2021;27(5):E205-E209. doi: 10.1097/PHH.0000000000001275.
Public health collaboratives are effective platforms to develop interventions for improving population health. Most collaboratives are limited to the public health and health care delivery sectors; however, multisector collaboratives are becoming more recognized as a strategy for combining efforts from medical, public health, social services, and other sectors.
Based on a 4-year multisector collaborative project, we identify concepts for widening the lens to conduct multisector alignment research. The goal of the collaborative was to address the serious care fragmentation and conflicting financing systems for persons with behavioral health disorders. Our work with these 7 sectors provides insight for creating a framework to conduct multisector alignment research for investigating how alignment problems can be identified, investigated, and applied to achieve systems alignment.
The multisector collaborative was undertaken in Maricopa County, encompassing Phoenix, Arizona, and consisted of more than 50 organizations representing 7 sectors.
We develop a framework for systems alignment consisting of 4 dimensions (alignment problems, alignment mechanisms, alignment solutions, and goal attainment) and a vocabulary for implementing multisector alignment research. We then describe the interplay and reciprocity between the 4 dimensions.
This framework can be used by multisector collaboratives to help identify strategies, implement programs, and develop metrics to assess impact on population health and equity.
公共卫生合作组织是制定改善人口健康干预措施的有效平台。大多数合作组织仅限于公共卫生和医疗保健服务部门；然而，多部门合作组织越来越被认为是一种结合医疗、公共卫生、社会服务和其他部门的努力的策略。
基于一个为期四年的多部门合作项目，我们确定了扩大视角进行多部门协调研究的概念。该合作组织的目标是解决行为健康障碍患者严重的护理碎片化和冲突的融资系统。我们与这 7 个部门的合作提供了一个框架，用于进行多部门协调研究，以调查如何识别、调查和应用协调问题，以实现系统协调。
多部门合作组织在马里科帕县进行，涵盖亚利桑那州凤凰城，由代表 7 个部门的 50 多个组织组成。
我们制定了一个由 4 个维度（协调问题、协调机制、协调解决方案和目标实现）和一个用于实施多部门协调研究的词汇组成的系统协调框架。然后，我们描述了这 4 个维度之间的相互作用和相互关系。
该框架可被多部门合作组织用于帮助确定策略、实施计划和制定衡量标准，以评估对人口健康和公平的影响。
