The coalition process at work: Building care coordination models to control chronic disease

Health Promotion Practice
Michael P RosenthalIvonne Vega

Abstract

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.

References

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Citations

Mar 20, 2010·American Journal of Public Health·Noreen M ClarkMargaret Wilkin
Aug 21, 2013·American Journal of Public Health·Noreen M Clark, Laurie Lachance
May 23, 2012·Primary Care·James PlumbKevin Scott
Oct 2, 2014·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Noreen M ClarkMargaret Wilkin
Mar 24, 2011·Health Promotion Practice·Richard CrespoHenry B King
Nov 30, 2011·Health Promotion Practice·Sally FindleyMeera Viswanathan
Jun 20, 2020·The Journal of School Health·Mayumi WillgerodtCara Helmer
Apr 17, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kathleen CougheyMichael P Rosenthal

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