Integrating Asthma Prevention and Control: The Roles of the Coalition

被引：18

作者：

Krieger, James W. ^{[1
,2
,3
]}

Bourcier, Emily ^{[4
,5
]}

Lara, Marielena ^{[6
,7
,8
,9
]}

Peterson, Jane W. ^{[1
,10
]}

Rosenthal, Michael P. ^{[11
,12
]}

Taylor-Fishwick, Judith C. ^{[13
,14
]}

Friedman, Amy R. ^{[15
,16
]}

Lachance, Laurie L. ^{[15
,17
,18
]}

Doctor, Linda Jo ^{[15
,19
,20
]}

机构：

[1] KCAF, King Cty Allies Asthma Program, Seattle, WA 98105 USA

[2] Univ Washington, Med & Hlth Sci, Seattle, WA 98195 USA

[3] Publ Hlth Seattle & King Cty, Epidemiol Planning & Evaluat, Seattle, WA 98195 USA

[4] KCAF, Seattle, WA 98105 USA

[5] Grp Hlth Community Fdn, Evaluat Team, Seattle, WA 98109 USA

[6] ALIANZA, San Juan, PR 82404 USA

[7] Univ Calif Los Angeles, RAND Program Latino Children Asthma, Los Angeles, CA 90095 USA

[8] Univ Calif Los Angeles, Dept Pediat, Los Angeles, CA 90095 USA

[9] RAND Hlth, Santa Monica, CA 90401 USA

[10] Seattle Univ, Coll Nursing, Seattle, WA 98122 USA

[11] PAAA, Philadelphia, PA 19107 USA

[12] Thomas Jefferson Univ, Jefferson Med Coll, Dept Family & Community Med, Philadelphia, PA 19107 USA

[13] CINCH, Ann Arbor, MI 48109 USA

[14] Eastern Virginia Med Sch, Pediat, Norfolk, VA 23507 USA

[15] Allies Against Asthma, Ann Arbor, MI 48109 USA

[16] Univ Michigan, Sch Publ Hlth, Ctr Managing Chron Dis, Ann Arbor, MI 48109 USA

[17] Ctr Managing Chron Dis, Ann Arbor, MI 48109 USA

[18] Univ Michigan, Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA

[19] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA

[20] WK Kellogg Fdn, Battle Creek, MI 49017 USA

来源：

HEALTH PROMOTION PRACTICE | 2006年 / 7卷 / 02期

关键词：

asthma; child; coalitions; coordination of care; integration;

D O I：

10.1177/1524839906287059

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：S127 / S138

页数：12

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