Collaboration as a Tool for Equity? Reducing Racial and Ethnic Disparities in Healthcare Access
Bibliographic Data
| ID | 11587331 |
|---|---|
| Authors | Jiho Kim (0000-0003-2430-8651, School of Public Affairs Arizona State University Phoenix Arizona USA, corresponding author), Tina Nabatchi (0000-0002-1410-3647, Maxwell School of Citizenship and Public Affairs Syracuse University Syracuse New York USA) |
| Year | 2026 |
| Publication date | 2026-02-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Administration Review (JOURNAL) |
| Journal identifiers | ISSN: 0033-3352 • E-ISSN: 1540-6210 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/puar.70091 |
| OpenAlex | W7128300413 |
| Language | EN |
| References cited | 59 |
Despite its importance in theory and practice, little is known about whether, how, when, and for whom a collaborative governance strategy achieves socially equitable outcomes. Using a staggered difference‐in‐differences design and data from the Behavioral Risk Factor Surveillance System, we analyze how well Oregon counties that adopted collaborative governance bridge racial disparities in healthcare access compared to non‐adopting counties. We find that collaborative governance is associated with reducing racial and ethnic disparities in financial barriers to visiting a doctor after 3 years of implementation and that such effects grow stronger over time. In addition, the estimated effect of collaborative governance on having a personal doctor is greatest for Hispanics. This article points to potential benefits of a collaborative governance strategy that designs and scales collaboration through a collaborative platform and collaborative governance regimes, sustains long‐term efforts to meet health equity goals, and identifies and serves the most vulnerable populations
Collaborative governance · Collaborative model · Corporate governance · Equity (law · Ethnic group · Health care · Health equity · Cultural Competency in Health Care · Healthcare Policy and Management · Interprofessional Education and Collaboration
Social Determinants of Health
Health equity and Covid-19
Why health equity?
Access to Care Is the Centerpiece in the Elimination of Socioeconomic Disparities in Health
The Role Of Health Insurance Coverage In Reducing Racial/Ethnic Disparities In Health Care
Hispanic health in the USA
Defining and Targeting Health Care Access Barriers
The Social Determinants of Health
Dissecting racial bias in an algorithm used to manage the health of populations
Difference-in-differences with variation in treatment timing
Difference-in-Differences with multiple time periods
The concepts and principles of equity and health
Who benefits from collaborative governance? An empirical study from the energy sector
Inequity In Social Exchange
Common institutional design, divergent results
How does collaborative governance evolve? Insights from a medium-n case comparison
Assessing Collaborative Conservation
Linking Diversity of Collaborative Policymaking Venues With Procedural Justice Perceptions
Collaborative Governance at Scale
Thinking Harder About Outcomes for Collaborative Governance Arrangements
Defining equity in health
Community-Based Participatory Research Contributions to Intervention Research
Language Spoken and Differences in Health Status, Access to Care, and Receipt of Preventive Services Among US Hispanics
Designing and Implementing Cross‐Sector Collaborations
Can the power of platforms be harnessed for governance
Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act
Citizen‐Centered Collaborative Public Management
Public Administration and Social Equity
Collaborative Governance
What Do We Know and Need to Know about the Environmental Outcomes of Collaborative Management
Drivers of (in)equity in collaborative environmental governance
Managing the Inclusion Process in Collaborative Governance
All hands on deck
Modes of Network Governance
Governing the Hollow State
Distributive Justice in Collaborative Outputs
Saving the Salmon
Collaborative governance platforms and outcomes
Collaborative Platforms as a Governance Strategy
Collaborative Governance in Theory and Practice
Collaborative Public Management
Deepening Democracy
Health Inequities Among Latinos/Hispanics
| Citation velocity | historical |
|---|---|
| Highly cited | No |