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Forming a successful public health collaborative: A qualitative study
Jeanmarie Mayer1, Stacey Slager1, Peter Taber1
1Department of Internal Medicine, University of Utah Health, Salt Lake City, UT; VA Salt Lake City Health Care System, Salt Lake City, UT.
American Journal of Infection Control
|December 25, 2018
Summary
Public health-led collaborations can overcome tensions in controlling resistant organism spread. Key factors include strong leadership, mutual respect, clear communication, and shared understanding of interdependencies to foster cooperation.
Area of Science:
- Healthcare Management
- Public Health Policy
- Infectious Disease Control
Background:
- Coordinated strategies are essential for controlling the spread of resistant organisms across healthcare facilities.
- Social dynamics can impede effective public health-led community partnerships for infection control.
Purpose of the Study:
- To investigate social tensions hindering community partnerships for controlling resistant organism transmission.
- To identify success factors for public health-led collaborative efforts.
Main Methods:
- A collaborative focused on controlling multidrug-resistant organisms (MDROs) was established post-outbreak.
- Qualitative analysis of 3 focus groups involving diverse healthcare stakeholders was conducted.
Main Results:
- The collaborative surfaced institutional tensions among stakeholders.
- Four factors facilitated overcoming these tensions: public health leadership, cross-institutional identity, standardized communication, and shared mental models.
Conclusions:
- Public health-led coordinated approaches can be enhanced by specific strategies to foster cooperation.
- Addressing stakeholder concerns, akin to a 'prisoner's dilemma,' is crucial for successful collaborative infection control.
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