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The coalition process at work: Building care coordination models to control chronic disease
Michael P Rosenthal1, Frances D Butterfoss, Linda Jo Doctor
1Philadelphia Allies Against Asthma (PAAA), Department of Family and Community Medicine at the Jefferson Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania, USA.
Health Promotion Practice
|April 26, 2006
Summary
Asthma care coordination improved through community coalitions. These groups addressed fragmented systems, enhancing patient services despite challenges in provider engagement and health system inertia.
Area of Science:
- Public Health
- Health Systems Research
- Chronic Disease Management
Background:
- Asthma is a prevalent chronic disease with substantial morbidity.
- Fragmented care delivery negatively impacts patient outcomes.
- Patient-centered approaches and coordinated systems are crucial for improving asthma care.
Purpose of the Study:
- To evaluate the effectiveness of community coalitions in improving asthma care coordination.
- To identify common barriers and successful strategies employed by coalitions addressing system fragmentation.
Main Methods:
- Seven "Allies Against Asthma" coalitions utilized collaborative processes.
- Interventions were tailored to community-specific needs, assets, and stakeholders.
- Focus was on addressing system fragmentation and enhancing care coordination.
Main Results:
- Coalitions successfully identified and addressed issues of inefficient, inconsistent, and fragmented asthma care.
- Despite significant barriers (provider engagement, interinstitutional coordination, patient involvement, insurer interaction, system inertia), coordinated improvements were achieved.
- Diverse interventions were developed and implemented based on coalition-specific contexts.
Conclusions:
- Community coalitions can effectively drive coordinated improvements in asthma care systems.
- Collaborative efforts can overcome significant barriers to enhance patient-centered care delivery.
- Addressing system fragmentation through linked systems is a viable strategy for managing chronic diseases like asthma.