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Improving Quality of Care and Promoting Health Care System Change: The Role of Community-Based Coalitions

Alianza Contra el Asma Pediátrica en Puerto Rico (ALIANZA) and the UCLA/RAND Program Latino Children with Asthma, UCLA Department of Pediatrics and RAND Health in Santa Monica, California

Michael D. Cabana, MD, MPH

Physician Asthma Care Education (PACE) Project, Division of General Pediatrics at the University of California San Francisco in San Francisco, California

Christy R. Houle, MPH

Allies Against Asthma National Program Office, University of Michigan School of Public Health in Ann Arbor, Michigan

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

Laurie L. Lachance, PhD, MPH

Allies Against Asthma, Center for Managing Chronic Disease, University of Michigan in Ann Arbor, Michigan

John R. Meurer, MD, MBA

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

Michael P. Rosenthal, MD

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

Ivonne Vega, MD

Alianza Contra el Asma Pediátrica en Puerto Rico (ALIANZA)

As part of their community action plans, the Allies Against Asthma coalitions have developed efforts to improve quality of care and promote health care system change. All the coalitions have used an interdisciplinary collaborative approach to design these strategies and demonstrated a range of intervention approaches appropriate to their local context and circumstances. The coalitions’ collective experience suggests that coalitions provide three key forces for quality improvement and change that may be lacking in the current fragmented U.S. health care system—motivation to change the status quo, integration across systems, and accountability for results. The collaborative and empowering processes that a coalition model encourages and the direct advocacy opportunity provided to the consumer appear to bring these forces into play.

Key Words: asthma • community-based coalitions • quality of care • health care system change

Health Promotion Practice, Vol. 7, No. 2 suppl, 87S-95S (2006)
DOI: 10.1177/1524839906287064


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