The Design and Implementation of Cross-Sector Collaborations: Propositions from the Literature

People who want to tackle tough social problems and achieve beneficial community outcomes are beginning to understand that multiple sectors of a democratic society—business, nonprofits and philanthropies, the media, the community, and government—must collaborate to deal effectively and humanely with the challenges. This article focuses on cross-sector collaboration that is required to remedy complex public problems. Based on an extensive review of the literature on collaboration, the article presents a propositional inventory organized around the initial conditions affecting collaboration formation, process, structural and governance components, constraints and contingencies, outcomes, and accountability issues.     

Political competition

Abstract Many previous theoretical analyses of multiparty coalition behaviour have been based either on one-dimensional policy model or on a constant-sum game interpretation. For theoretical and empirical reasons this paper focusses on a competitive two-dimensional model. In this model parties are concerned with policy outcomes but choose party positions both with a view to electoral consequences and as a basis for coalition bargaining. The political heart is proposed as the set of possible coalition outcomes. The heart is either the core of the political game or is determined by a small number of party positions. Under certain conditions an equilibrium in the choice of party positions can be shown to exist. The model suggests that parties can be categorized as either strong or weak core parties, anti-core parties or peripheral parties. This categorization of parties implies a typology of party systems, which gives some theoretical foundation for the occurrence of minority, minimal winning and surplus coalitions in many of the European countries in the postwar period.     

The resistible rise of preventive medicine

The politics of preventive health care have changed dramatically in the last fifteen years. In the late 1960s and early 1970s, prevention was the motherhood issue of health care reform. With only the slightest glimmer of controversy, vaccination, promotion of lifestyle changes, mass screening, and safety regulation all became widely accepted strategies for improving health and reducing medical expenditures. By the mid-1980s, the dark side of each strategy became visible. Vaccinations can cause serious and permanent injuries; lifestyle factors are being used to raise insurance premiums, to deny eligibility for disability insurance benefits, and to deny employment. Screening is similarly used to deny employment, and new technologies for prenatal screening have raised fears of stigma and selective abortion among racial, handicapped, and antiabortion groups. Occupational safety regulation is increasingly focused on excluding the "high-risk" individual from jobs. In the absence of social protections from these economic and social harms, citizens have used tort and civil rights litigation to resist preventive health measures.