The coalition process at work: Building care coordination models to control chronic disease. Health Promot Pract 2006 Apr;7(2 Suppl):117S-126S
Date
04/26/2006Pubmed ID
16636162DOI
10.1177/1524839906287061Scopus ID
2-s2.0-33749262457 (requires institutional sign-in at Scopus site) 17 CitationsAbstract
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.
Author List
Rosenthal MP, Butterfoss FD, Doctor LJ, Gilmore LA, Krieger JW, Meurer JR, Vega IAuthor
John R. Meurer MBA, MD Emeritus Professor in the Institute for Health and Humanity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AsthmaChronic Disease
Community Networks
Efficiency, Organizational
Humans
Models, Organizational
Systems Integration
United States
