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Lessons learned in systems change initiatives: benchmarks and indicators.
Mary Kreger1, Claire D Brindis, Diane M Manuel
1Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA 94118, USA. mary.kreger@ucsf.edu
Measuring systems change, which addresses root causes through policy and practice shifts, is complex. This study explores benchmarks and indicators for collaboratives driving sustainable systems change initiatives.
Area of Science:
- Social Sciences
- Public Health
- Organizational Studies
Background:
- Assessing progress in systems change, defined as sustainable efforts addressing root causes via policy and practice alteration, poses significant challenges for communities, evaluators, and foundations.
- Tracking multifaceted changes in resources, power dynamics, policy landscapes, funding stability, relational structures, and core values necessitates sophisticated, multi-level analytical approaches.
Purpose of the Study:
- To provide an overview of systems change as a concept.
- To discuss the role of collaboratives as catalysts for social change.
- To introduce benchmarks and indicators for evaluating systems change collaboratives and suggest future research directions.
Main Methods:
- The analysis integrates multiple theoretical frameworks from existing literature on systems change.
- Concepts are illustrated using case examples from six distinct systems change initiatives supported by The California Endowment.
- A multi-level analytical perspective considering events, interaction patterns, context, and systemic structures is proposed.
Main Results:
- Collaboratives can serve as effective engines for driving social change.
- Identifying and tracking specific benchmarks and indicators are crucial for measuring progress in systems change efforts.
- The study highlights the complexity of multi-strata analysis required for understanding systems transformation.
Conclusions:
- Further research is essential to refine methodologies for measuring systems change.
- Developing robust indicators for collaboratives is key to documenting their impact on policy and practice.
- A comprehensive understanding of systems change requires attention to interconnected factors across different levels of analysis.
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