This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Rosenthal, M. P. Articles by Vega, I. Search for Related Content PubMed PubMed Citation Articles by Rosenthal, M. P. Articles by Vega, I. Pubmed/NCBI databases Medline Plus Health Information Asthma Social Bookmarking                         What's this?

The Coalition Process at Work: Building Care Coordination Models to Control Chronic Disease

Philadelphia Allies Against Asthma (PAAA), Department of Family and Community Medicine at the Jefferson Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania

Frances D. Butterfoss, PhD, MEd

Consortium for Infant and Child Health (CINCH), Center for Pediatric Research at Eastern Virginia Medical School in Norfolk, Virginia

Linda Jo Doctor, MPH

W.K. Kellogg Foundation in Battle Creek, Michigan

Lisa A. Gilmore, MBA, MSW

National Capital Asthma Coalition in Washington, D.C.

James W. Krieger, MD, MPH

King County Allies Against Asthma program of the King County Asthma Forum (KCAF), University of Washington, Public Health—Seattle & King County in Seattle, Washington

John R. Meurer, MD, MBA

Fight Asthma Milwaukee Allies (FAM Allies), Medical College of Wisconsin in Milwaukee, Wisconsin

Ivonne Vega, MD

Alianza Contra el Asma Pediátrica en Puerto Rico (ALIANZA)

Asthma is a highly prevalent and frequently misunderstood chronic disease with significant morbidity. Integrating client services at the patient-centered level and using coalitions to build coordinated, linked systems to affect care may improve outcomes. All seven Allies Against Asthma coalitions identified inefficient, inconsistent, and/or fragmented care as issues for their communities. In response, the coalitions employed a collaborative process to identify and address problems related to system fragmentation and to improve coordination of care. Each coalition developed a variety of interventions related to its specific needs and assets, stakeholders, stage of coalition formation, and the dynamic structure of its community. Despite common barriers in forming alliances with busy providers and their staff, organizing administrative structures among interinstitutional cultures, enhancing patient and/or family involvement, interacting with multiple insurers, and contending with health system inertia, the coalitions demonstrated the ability to produce coordinated improvements to existing systems of care.

Key Words: asthma • community coalitions • coordination of care • health care delivery • outcomes • coalition • chronic disease

Health Promotion Practice, Vol. 7, No. 2 suppl, 117S-126S (2006)
DOI: 10.1177/1524839906287061


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				L. L. Lachance, C. R. Houle, E. F. Cassidy, E. Bourcier, J. H. Cohn, C. E. Orians, K. Coughey, X. Geng, C. L.M. Joseph, M. D. Lyde, et al. Collaborative Design and Implementation of a Multisite Community Coalition Evaluation Health Promot Pract, April 1, 2006; 7(2_suppl): 44S - 55S. [Abstract] [PDF]

				M. Lara, M. D. Cabana, C. R. Houle, J. W. Krieger, L. L. Lachance, J. R. Meurer, M. P. Rosenthal, and I. Vega Improving Quality of Care and Promoting Health Care System Change: The Role of Community-Based Coalitions Health Promot Pract, April 1, 2006; 7(2_suppl): 87S - 95S. [Abstract] [PDF]

				A. R. Friedman, F. D. Butterfoss, J. W. Krieger, J. W. Peterson, M. Dwyer, K. Wicklund, M. P. Rosenthal, and L. Smith Allies Community Health Workers: Bridging the Gap Health Promot Pract, April 1, 2006; 7(2_suppl): 96S - 107S. [Abstract] [PDF]

				J. W. Krieger, E. Bourcier, M. Lara, J. W. Peterson, M. P. Rosenthal, J. C. Taylor-Fishwick, A. R. Friedman, L. L. Lachance, and L. J. Doctor Integrating Asthma Prevention and Control: The Roles of the Coalition Health Promot Pract, April 1, 2006; 7(2_suppl): 127S - 138S. [Abstract] [PDF]

				N. M. Clark, A. R. Friedman, and L. L. Lachance Summing It Up: Collective Lessons From the Experience of Seven Coalitions Health Promot Pract, April 1, 2006; 7(2_suppl): 149S - 152S. [PDF]