title: Interorganizational network changes among health organizations in the Brazos Valley, Texas.
abstract: Community health development is a process by which a community identifies factors influencing population health, assesses available resources to build the capacity to plan and take action, and implement interventions to address identified needs. At its core, community health development targets structural change and infrastructure development to facilitate more efficient and effective health service delivery systems and environmental changes to support improvements in community health. One indicator of structural change and common measure of community capacity is the relationships among the network of organizations that comprise that system. The Brazos Valley has employed a community health development approach to population health improvement in partnership with the Center for Community Health Development. Changes in interorganizational networks illustrate progress in the Brazos Valley. Contextual factors provide some insight into how the process has unfolded.
authors.affiliation: Center for Community Health Development, School of Rural Public Health, Texas A&M Health Science Center, 1266 TAMU, College Station, TX 77843-1266, USA. mlwendel@srph.tamhsc.edu
authors.forename: Monica L
authors.initials: ML
authors.lastname: Wendel
authors.forename: John D
authors.initials: JD
authors.lastname: Prochaska
authors.forename: Heather R
authors.initials: HR
authors.lastname: Clark
authors.forename: Shawta
authors.initials: S
authors.lastname: Sackett
authors.forename: Keith
authors.initials: K
authors.lastname: Perkins
mesh_terms: D057191:Capacity Building / Q000379:methods / Q000458:organization & administration*; D019058:Community Networks / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000639:trends; D006304:Health Status; D006801:Humans; D007373:Interinstitutional Relations; D017146:Models, Organizational; D020380:Needs Assessment; D019982:Organizational Case Studies; D012423:Rural Health; D012922:Social Change; D012940:Social Problems / Q000517:prevention & control; D013781:Texas