Fostering Organizational Change Through a Community-Based Initiative

¹ an associate clinical professor at New York University's Robert F. Wagner Graduate School of Public Service and the associate director of the Center for Health and Public Service Research in New York City, New York.
² president of the Institute for Urban Family Health in New York City, principal investigator for the Bronx Health REACH CDC and NIH programs, and clinical professor of family medicine at the Albert Einstein College of Medicine of Yeshiva University in New York City, New York.
³ senior vice president for planning and development at the Institute for Urban Family Health and serves as the project administrator for the Bronx Health REACH program in New York City, New York.
⁴ project director of the Bronx Health REACH program of the Institute for Urban Family Health in New York City, New York.
⁵ an associate professor at New York University's Robert F. Wagner Graduate School of Public Service and director of the Center for Health and Public Service Research in New York City, New York.

^* To whom correspondence should be addressed.

	Abstract

Program funders and managers are increasingly interested in fostering changes in the policies, practices, and procedures of organizations participating in community-based initiatives. But little is known about what factors contribute to the institutionalization of change. In this study, the authors assess whether the organizational members of the Bronx Health REACH Coalition have begun to change their functioning and role with regard to their clients and their staff and in the broader community, apart from their implementation of the funded programs for which they are responsible. The study identifies factors that seemed to contribute to or hinder such institutional change and suggests several strategies for coalitions and funders that are seeking to promote and sustain organizational change.

Key Words: organizational change, sustainability, collaboration, institutionalization, health disparities

First published on June 7, 2006, doi:10.1177/1524839906288691

Health Promotion Practice 2006;7:181S.

A more recent version of this article appeared on July 1, 2006


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