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Sustaining multistakeholder alliances.

Thomas D'Aunno1, Larry Hearld, Jeffrey A Alexander

  • 1Thomas D'Aunno, PhD, is Professor, New York University Wagner School of Public Service. E-mail: tda3@nyu.edu. Larry Hearld, PhD, is Professor, University of Alabama at Birmingham. Jeffrey A. Alexander, PhD, is Emeritus, University of Michigan, Ann Arbor.

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Summary
This summary is machine-generated.

Multistakeholder alliances are vital for community health but fragile. Their sustainability hinges on shared vision, goals, and past successes, as perceived by participants.

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Area of Science:

  • Health Services Research
  • Organizational Behavior
  • Public Health Policy

Background:

  • Multistakeholder alliances are increasingly crucial for community health initiatives in the U.S. healthcare system.
  • These alliances face inherent fragility due to low barriers to exit for key stakeholders.
  • Understanding participant perceptions is key to assessing alliance sustainability.

Purpose of the Study:

  • To investigate conditions under which alliance participants perceive their alliances as sustainable.
  • To determine factors influencing participants' views on future positioning, performance, and challenge-handling capacity.

Main Methods:

  • Cross-sectional survey data collected in summer 2015.
  • Data from 638 participants across 15 alliances in the Aligning Forces for Quality program.
  • Regression analyses to identify factors linked to perceived sustainability.

Main Results:

  • Alliance participants more likely to view alliances as sustainable when a common vision, goals, and strategies are shared.
  • Perceived past effective performance of the alliance is positively associated with sustainability perceptions.
  • Shared vision and prior success are key drivers of perceived alliance sustainability.

Conclusions:

  • Alliance leaders should foster a collective vision and incremental successes to enhance sustainability.
  • Building shared understanding and demonstrating past achievements are critical for long-term alliance viability.
  • Participant perceptions of shared purpose and effectiveness are vital for multistakeholder alliance resilience.