Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep-Oct;27(5):E205-E209.
doi: 10.1097/PHH.0000000000001275.

Framework for Multisector Alignment Research

William J Riley  1 , Kailey Love, George Runger, Michael S Shafer, Kathleen Pine, Glen Mays
Affiliations

Framework for Multisector Alignment Research

William J Riley et al. J Public Health Manag Pract. 2021 Sep-Oct.

Abstract

Context: Public health collaboratives are effective platforms to develop interventions for improving population health. Most collaboratives are limited to the public health and health care delivery sectors; however, multisector collaboratives are becoming more recognized as a strategy for combining efforts from medical, public health, social services, and other sectors.

Program: Based on a 4-year multisector collaborative project, we identify concepts for widening the lens to conduct multisector alignment research. The goal of the collaborative was to address the serious care fragmentation and conflicting financing systems for persons with behavioral health disorders. Our work with these 7 sectors provides insight for creating a framework to conduct multisector alignment research for investigating how alignment problems can be identified, investigated, and applied to achieve systems alignment.

Implementation: The multisector collaborative was undertaken in Maricopa County, encompassing Phoenix, Arizona, and consisted of more than 50 organizations representing 7 sectors.

Evaluation: We develop a framework for systems alignment consisting of 4 dimensions (alignment problems, alignment mechanisms, alignment solutions, and goal attainment) and a vocabulary for implementing multisector alignment research. We then describe the interplay and reciprocity between the 4 dimensions.

Discussion: This framework can be used by multisector collaboratives to help identify strategies, implement programs, and develop metrics to assess impact on population health and equity.

PubMed Disclaimer

Conflict of interest statement

The authors have indicated that they have no potential conflicts of interest to disclose.

Figures

FIGURE
FIGURE
Framework for Multisector Alignment Research
See this image and copyright information in PMC

References

    1. Kickbusch I, Behrendt T. Implementing a Health 2020 Vision: Governance for Health in the 21st Century. Making It Happen. Copenhagen, Denmark: World Health Organization; 2013.
    1. Ansell C, Gash A. Collaborative governance in theory and practice. J Public Admin Res Theory. 2008;18:543–571.
    1. Commonwealth Secretariat. Guidelines for Implementing a Multi-sectoral Approach to HIV and AIDS in Commonwealth Countries. London, England: Commonwealth Secretariat Health Section, Division STP; 2003.
    1. Dasgupta N. Aligning systems for health. Am J Public Health. 2020;110(suppl 2):S174–S175. - PMC - PubMed
    1. Woulfe J, Oliver TR, Siemering KQ, Zahner SJ. Multisector partnerships in population health improvement. Prev Chronic Dis. 2010;7(6):A119. - PMC - PubMed

Publication types