What specific power dynamics and power differentials exist between health and social service organizations in partnership? by Hunter Gatewood

expectations around time

2024-06-27 20:35:28 UTC

Money

2024-06-27 20:35:29 UTC

Power Dynamics

2024-06-27 20:35:38 UTC

In the case of CalAIM and MediCal, there are power dynamics of knowledge and familiarity which organizations who are new to Medi-Cal don't have e.g. contracting, regulations, MCP understanding.

Resources

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Resouces

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Different languages/terminology

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Service Delivery and Program Implementations

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Larger staff

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Community Based social services agency hold the power to the community and individuals. They are the gate keepers with deep understanding of the dynamics of their community. They have a stake in uplifting the community.

2024-06-27 20:36:15 UTC

Physical space (facilities, size, geography, etc)

2024-06-27 20:36:16 UTC

Different regulations/requirements

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Data

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Sometimes the parties who are working together have data that their partners don't have access to that may impact their ability to do their work effectively.

Reputation, name recognition

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Influence and Visibility

2024-06-27 20:37:01 UTC

Number of people served

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Standing, social status

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Relationships with state government can be imbalanced

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Political power

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Power comes in different forms and successful social services programs that support equity have power. Outcomes are another way to garner power and expertise within organizational programs.

2024-06-27 20:39:02 UTC

healthcare entities have lobbying and political power

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understanding of respective priorities, values, perspectives and mission

2024-06-27 20:40:26 UTC

Often because shared understanding doesn't exist and these conversations don't happen, folks miss where they can build trust and transparency which then exacerbates power dynamics

Historical power imbalances needs to be taken into account, especially political power and previlege.

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Knowledge of the community and the individuals being served

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Knowledge of medi-cal

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Personal connections in their respective fields

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Building relationships with the community is a form of power

2024-06-27 20:42:33 UTC