Providence Center for Outcomes Research and Education (CORE), Portland, Oregon, USA.
AGD Consulting, San Diego, California, USA.
Health Serv Res. 2024 Feb;59 Suppl 1(Suppl 1):e14236. doi: 10.1111/1475-6773.14236. Epub 2023 Sep 25.
To describe the impact of Accountable Communities of Health (ACHs) on organizational and community partnerships and explore how ACHs contribute to systems change.
The California Accountable Communities of Health Initiative (CACHI) was a 5-year, $17 M investment in community health transformation in 13 ACH sites. Data sources include two surveys, key informant interviews, small group conversations, and ACH meeting observations and document review.
This was a mixed-methods, observational study. Surveys conducted in 2021 and 2022 focused on ACH progress in building organizational and community partnerships and ACH impact on partners and systems, respectively. Interviews and small group conversations were conducted toward the end of the CACHI grant period and designed to complement the surveys.
Survey respondents included ACH backbone agency staff and partner organization representatives (n = 141 in 2021 and 88 in 2022). Semistructured individual interviews and group conversations were conducted with 40 ACH backbone staff and partners. Documents were collected via grant reporting and directly from ACH staff. Data were analyzed descriptively and thematically.
ACHs appear to have supported organizational partnerships and collaboration. Seventy-six percent of survey respondents reported that their ACH had strengthened organizations' ability to work together and 65% reported developing new or deepened connections. While ACH participants reported a better understanding of community needs and priorities, progress on community relationships, and greater attention to equity and racial justice, many saw room for improvement on meaningful community engagement. Systems changes and precursors of systems change observed across ACH sites included strengthened partnerships, enhanced knowledge, increased capacity, more collaborative ways of working, and new funding streams.
The ACH model is effective at strengthening organizational partnerships and catalyzing other systems changes and precursors including enhanced knowledge, increased capacity, more collaborative ways of working, and new funding.
描述健康责任社区 (ACHs) 对组织和社区伙伴关系的影响，并探讨 ACHs 如何促进系统变革。
加利福尼亚健康责任社区倡议 (CACHI) 是一项为期 5 年、投资 1700 万美元的社区健康转型计划，在 13 个 ACH 地点实施。数据来源包括两项调查、关键知情人访谈、小组讨论、ACH 会议观察和文件审查。
这是一项混合方法、观察性研究。2021 年和 2022 年进行的两项调查分别侧重于 ACH 在建立组织和社区伙伴关系方面的进展，以及 ACH 对合作伙伴和系统的影响。访谈和小组讨论在 CACHI 拨款期结束时进行，旨在补充调查。
调查的受访者包括 ACH 骨干机构工作人员和合作伙伴组织代表（2021 年有 141 人，2022 年有 88 人）。对 40 名 ACH 骨干工作人员和合作伙伴进行了半结构化的个人访谈和小组讨论。通过拨款报告和直接从 ACH 工作人员那里收集文件。对数据进行了描述性和主题分析。
ACH 似乎支持了组织伙伴关系和合作。76%的调查受访者表示，他们的 ACH 增强了组织共同工作的能力，65%的受访者表示开发了新的或深化了联系。虽然 ACH 参与者报告说对社区需求和优先事项有了更好的了解，并更加关注公平和种族正义，但许多人认为在有意义的社区参与方面还有改进的空间。ACH 站点观察到的系统变化和系统变化的前兆包括加强了伙伴关系、增强了知识、提高了能力、更多的合作工作方式和新的资金来源。
ACH 模式在加强组织伙伴关系和促进其他系统变革和前兆方面是有效的，包括增强知识、提高能力、更多的合作工作方式和新的资金来源。
