TY - JOUR
T1 - Network analysis of organizations providing HIV services in Chicago
T2 - Toward an integrated response to the HIV epidemic
AU - Phillips, Gregory
AU - Lindeman, Peter
AU - Janulis, Patrick
AU - Johnson, Amy K.
AU - Beach, Lauren B.
AU - Stonehouse, Patrick
AU - Kern, David
AU - Boegner, Joshua
AU - Raman, Anand
AU - Greene, George J.
N1 - Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Context: The public health response to the HIV epidemic has increasingly centered on the uptake of and adherence to biomedical interventions (eg, pre-exposure prophylaxis [PrEP], treatment as prevention [TasP]). Traditionally, various community and health care organizations have worked to address different stages of PrEP or TasP care. Objective: To understand the importance of how HIV prevention organizations providing these services interact to provide the comprehensive care needed for successful HIV and PrEP continuum outcomes. Design: Utilizing an Organizational Network Survey, network ties were examined between formal and informal partnerships among community agencies. Setting: This study examined community agencies in the current HIV prevention system in Chicago. Participants: Seventy-two community agencies across the Chicago metropolitan area. Main Outcome Measures: Using network analysis, this study examined ties between community agencies and assessed perceptions of collaboration and competitiveness in the current HIV prevention system in Chicago. Results: Overall, respondents reported that the current environment of HIV prevention in Chicago was extremely (18.8%), moderately (37.5%), or somewhat collaborative (37.5%) and extremely (68.8%) or moderately competitive (25.0%). The majority of partnerships reported were informal, with less than a quarter being formalized. That said, those who reported formal partnerships reported being satisfied with those relationships. There was a significantly negative association between density and perceived collaboration—grantees experiencing a more collaborative also reported less dense networks. Conclusion: These findings indicate that, despite perceived competitiveness, agencies are willing to work together and create a cohesive HIV prevention and treatment system. However, more work should be done to foster an environment that can support the formation of partnerships, to improve a coordinated response to providing HIV care, and sustain mutually beneficial relationships.
AB - Context: The public health response to the HIV epidemic has increasingly centered on the uptake of and adherence to biomedical interventions (eg, pre-exposure prophylaxis [PrEP], treatment as prevention [TasP]). Traditionally, various community and health care organizations have worked to address different stages of PrEP or TasP care. Objective: To understand the importance of how HIV prevention organizations providing these services interact to provide the comprehensive care needed for successful HIV and PrEP continuum outcomes. Design: Utilizing an Organizational Network Survey, network ties were examined between formal and informal partnerships among community agencies. Setting: This study examined community agencies in the current HIV prevention system in Chicago. Participants: Seventy-two community agencies across the Chicago metropolitan area. Main Outcome Measures: Using network analysis, this study examined ties between community agencies and assessed perceptions of collaboration and competitiveness in the current HIV prevention system in Chicago. Results: Overall, respondents reported that the current environment of HIV prevention in Chicago was extremely (18.8%), moderately (37.5%), or somewhat collaborative (37.5%) and extremely (68.8%) or moderately competitive (25.0%). The majority of partnerships reported were informal, with less than a quarter being formalized. That said, those who reported formal partnerships reported being satisfied with those relationships. There was a significantly negative association between density and perceived collaboration—grantees experiencing a more collaborative also reported less dense networks. Conclusion: These findings indicate that, despite perceived competitiveness, agencies are willing to work together and create a cohesive HIV prevention and treatment system. However, more work should be done to foster an environment that can support the formation of partnerships, to improve a coordinated response to providing HIV care, and sustain mutually beneficial relationships.
KW - HIV care continuum
KW - Network analysis
KW - Organizational partnerships
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U2 - 10.1097/PHH.0000000000001165
DO - 10.1097/PHH.0000000000001165
M3 - Article
C2 - 32487919
AN - SCOPUS:85107805248
VL - 28
SP - 143
EP - 151
JO - Journal of Public Health Management and Practice
JF - Journal of Public Health Management and Practice
SN - 1078-4659
IS - 2
ER -