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Analysing collaboration among HIV agencies through combining network theory and relational coordination
Nidhi Khosla1, Jill Ann Marsteller2, Yea Jen Hsu2
1Department of Health Sciences, University of Missouri, USA.
Social Science & Medicine (1982)
|January 7, 2016
Summary
Effective coordination among HIV service agencies requires strong communication and shared goals. This study found that while mutual respect and shared goals were high, knowledge of each other's work and problem-solving communication need improvement for better HIV care delivery.
Area of Science:
- Public Health
- Social Network Analysis
- Organizational Behavior
Background:
- Comprehensive care for people living with HIV (PLHIV) necessitates collaboration among diverse service agencies (e.g., nutrition, medical, housing).
- Effective inter-agency coordination is crucial for addressing the multifaceted needs of PLHIV.
- Existing research often overlooks the specific dynamics of coordination within the HIV service sector.
Purpose of the Study:
- To investigate inter-agency coordination among HIV service providers in Baltimore.
- To apply Social Network Theory and Relational Coordination Theory to understand coordination dynamics.
- To identify specific dimensions of relational coordination that can be enhanced to improve collaborative ties.
Main Methods:
- Surveyed 57 HIV service agencies regarding contact frequency using a roster method.
- Utilized social network analysis to map inter-agency connections.
- Administered a 7-dimension Relational Coordination survey to 11 key agencies with frequent interaction.
Main Results:
- Network density among agencies interacting monthly or more was 20%.
- Relational coordination scores varied significantly (1.17-5.00), with average scores between 3.30 and 4.00.
- Highest scores were for shared goals (4.00) and mutual respect (3.91); knowledge of work and problem-solving communication scored lower.
Conclusions:
- Inter-agency coordination in HIV services shows strengths in shared goals and mutual respect.
- Lower scores in knowledge of work and problem-solving indicate key areas for targeted improvement.
- Integrating Social Network and Relational Coordination theories provides a robust framework for assessing and enhancing collaborative efforts in public health.
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