Governance characteristics in building collaborative networks: lessons from a local initiative to reduce health inequalities
摘要
Despite extensive policy interventions, health inequalities persist. Local networks increasingly play an important role to combat inequalities. The aim of this study is to gain more insight into the governance characteristics that determine the successful establishment and early survival of a local collaborative network. Specifically, we will focus on which structural and relational characteristics of collaborative governance facilitate or hamper the initiative during the starting phase, and why.
MethodsWe analyze the illustrative case of Healthy and Happy The Hague, a collaborative network in one of the larger cities in the Netherlands. Data collection consisted of three elements: retrospective, semi-structured interviews with participants of the network were conducted, re-occurring meetings were observed, and policy documents were systematically analyzed. An abductive analysis approach was used.
ResultsThe most important structural characteristics contributing to the establishment of collaborative networks are multilevel collaboration, context-governance fit and adequate resources. Besides, the most important relational governance characteristics consist of incentives and commitment to collaborate, personal leadership, communication, and knowledge acquisition.
ConclusionThis study shows the importance of governance characteristics when building local collaborative networks. We describe both structural and relational governance characteristics from the collaborative governance literature relevant for starting and continuing local and regional initiatives, such as our illustrative case study.