Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada (Drs Du Mont and Kosa, Ms Coelho, and Messrs Lebel and Friedman Burley); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (Dr Du Mont); and Ontario Network of Sexual Assault/Domestic Violence Treatment Centres, Toronto, Ontario, Canada (Mr Friedman Burley, Dr Kosa, and Ms Macdonald).
J Public Health Manag Pract. 2023;29(4):507-515. doi: 10.1097/PHH.0000000000001699. Epub 2023 Mar 2.
To enhance the provision of comprehensive supports to transgender (trans) survivors of sexual assault, a structurally marginalized group with complex care needs, we developed an intersectoral network of trans-positive health care and community organizations in Ontario, Canada.
As a baseline evaluation of the network, we conducted a social network analysis to determine the extent and nature of collaboration, communication, and connection among members.
Relational data (eg, activities of collaboration) were collected from June to July 2021, and analyzed using a validated survey tool, Program to Analyze, Record, and Track Networks to Enhance Relationships (PARTNER). We shared findings in a virtual consultation session with key stakeholders and facilitated discussion to generate action items. Consultation data were synthesized into 12 themes through conventional content analysis.
An intersectoral network in Ontario, Canada.
Of the 119 representatives of trans-positive health care and community organizations invited to participate in this study, 78 (65.5%) completed the survey.
Proportion/count of organizations collaborating with other organizations. Network scores for value and trust.
Almost all (97.5%) invited organizations were listed as collaborators, representing 378 unique relationships. The network achieved a value score of 70.4% and trust score of 83.4%. The most prominent themes were "Communication and knowledge exchange channels," "Clearer roles and contributions," "Indicators of success," and "Client voices at the centre."
As key antecedents of network success, high value and trust indicate that network member organizations are well positioned to further foster knowledge sharing, define their roles and contributions, prioritize the integration of trans voices in all activities, and, ultimately, achieve common goals with clearly defined outcomes. There is great potential to optimize network functioning and advance the network's mission to improve services for trans survivors by mobilizing these findings into recommendations.
为了向跨性别(跨性别)性暴力幸存者提供全面支持,这些幸存者是一个结构上处于边缘地位、护理需求复杂的群体,我们在加拿大安大略省建立了一个跨性别友好的医疗保健和社区组织的跨部门网络。
作为对该网络的基线评估,我们进行了社会网络分析,以确定成员之间合作、沟通和联系的程度和性质。
关系数据(例如合作活动)于 2021 年 6 月至 7 月收集,并使用经过验证的调查工具 Program to Analyze, Record, and Track Networks to Enhance Relationships (PARTNER) 进行分析。我们在与主要利益相关者的虚拟咨询会议上分享了研究结果,并促进了讨论以生成行动项目。咨询数据通过常规内容分析综合成 12 个主题。
加拿大安大略省的一个跨部门网络。
在受邀参加这项研究的 119 名跨性别友好的医疗保健和社区组织代表中,有 78 人(65.5%)完成了调查。
与其他组织合作的组织比例/数量。网络的价值和信任得分。
几乎所有(97.5%)受邀组织都被列为合作伙伴,代表了 378 个独特的关系。该网络的价值得分为 70.4%,信任得分为 83.4%。最突出的主题是“沟通和知识交流渠道”、“更明确的角色和贡献”、“成功指标”和“以客户为中心的声音”。
作为网络成功的关键前提,高价值和高信任表明,网络成员组织具有很好的条件,可以进一步促进知识共享、定义其角色和贡献、优先考虑将跨性别者的声音纳入所有活动中,并最终通过明确界定成果实现共同目标。通过将这些发现转化为建议,可以充分利用这些发现来优化网络功能并推进网络的使命,以改善跨性别幸存者的服务。