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Social Sciences›Public Policy

Collaboration as a Tool for Equity? Reducing Racial and Ethnic Disparities in Healthcare Access

Jiho KimArizona State University
Tina NabatchiSyracuse University
Public Administration Review·February 6, 2026
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Abstract

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.

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