6 research outputs found

    Network formation, governance, and evolution in public health: The North American Quitline Consortium case

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    BACKGROUND: Collaborative networks of health organizations have received a great deal of attention in recent years as a way of enhancing the flow of information and coordination of services. However, relatively little is known about how such networks are formed and evolve, especially outside a local, community-based setting. This article is an in-depth discussion of the evolution of the North American Quitline Consortium (NAQC). The NAQC is a network of U.S. and Canadian organizations that provide telephone-based counseling and related services to people trying to quit smoking. METHODOLOGY: The research draws on data from interviews, documents, and a survey of NAQC members to assess how the network emerged, became formalized, and effectively governed. FINDINGS: The findings provide an understanding of how multiregional public health networks evolve, while building on and extending the broader literature on organizational networks in other sectors and settings. Specifically, we found that the network form that ultimately emerged was a product of the back-and-forth interplay between the internal needs and goals of those organizations that would ultimately become network members, in this case, state-, and provincial-level tobacco quitline organizations. We also found that network formation, and then governance through a network administrative organization, was driven by important events and shifts in the external environment, including the impact and influence of major national organizations. PRACTICE IMPLICATIONS: The results of the study provide health care leaders and policy officials an understanding of how the activities of a large number of organizations having a common health goal, but spanning multiple states and countries, might be coordinated and integrated through the establishment of a formal network

    Awareness of Evidence-Based Practices by Organizations in a Publicly Funded Smoking Cessation Network

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    This research examines the awareness of evidence-based practices by the public organizations that fund services in the North American Quitline Consortium (NAQC). NAQC is a large, publicly funded, goal-directed “whole network,” spanning both Canada and the United States, working to get people to quit smoking. Building on prior research on the dissemination and diffusion of innovation and evidence-based practices, and considering differences between network ties that are homophilous versus instrumental, we found that awareness of evidence-based practices was highest for quitline funders that were strongly connected directly to researchers and indirectly to the network administrative organization, controlling for quitline spending per capita and decision-making locus of control. The findings support the importance of maintaining instrumental (a technical/rational argument) rather than homophilous ties for acquisition of evidence-based practice knowledge. The findings also offer ideas for how public networks might be designed and governed to enhance the likelihood that the organizations in the network are better aware of what evidence-based practices exist

    Bearing the White Man's Burden: American Empire and the Origin of Public Administration

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