Integrating Asthma Prevention and Control: the Roles of the Coalition

Published in: Health Promotion Practice, v. 7, no. 2, suppl., Apr. 2006, p. 127S-138S

Posted on RAND.org on December 31, 2005

by James W. Krieger, Emily Bourcier, Marielena Lara, Jane Peterson, Michael P. Rosenthal, Judith C. Taylor-Fishwick, Amy R. Friedman, Laurie L. Lachance, Linda Jo Doctor

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Activities addressing pediatric asthma are often fragmented. Allies coalitions promoted integration, the alignment of concurrent asthma control activities across and within sectors. Systems integration describes activities from an organizational perspective. Activities included developing a shared vision, promoting consistency in asthma education and self-management support, improving adherence to clinical guidelines, advocating jointly for policy change, and seeking funds collaboratively. Service integration describes activities focused on ensuring seamless, comprehensive services through coordination within and across organizations. Activities included use of community health workers (CHWs) and nurses for care coordination, program cross-referral, and clinical quality improvement. Integration is a sustainable role for coalitions as it requires fewer resources than service delivery and results in institutionalization of system changes. Organizations that seek integration of asthma control may benefit.

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