title: Integrating asthma prevention and control: the roles of the coalition.
abstract: 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.
authors.affiliation: King County Allies Against Asthma program of the King County Asthma Forum (KCAF), University of Washington, Public Health-Seattle & King County in Seattle, Washington, USA.
authors.forename: James W
authors.initials: JW
authors.lastname: Krieger
authors.forename: Emily
authors.initials: E
authors.lastname: Bourcier
authors.forename: Marielena
authors.initials: M
authors.lastname: Lara
authors.forename: Jane W
authors.initials: JW
authors.lastname: Peterson
authors.forename: Michael P
authors.initials: MP
authors.lastname: Rosenthal
authors.forename: Judith C
authors.initials: JC
authors.lastname: Taylor-Fishwick
authors.forename: Amy R
authors.initials: AR
authors.lastname: Friedman
authors.forename: Laurie L
authors.initials: LL
authors.lastname: Lachance
authors.forename: Linda Jo
authors.initials: LJ
authors.lastname: Doctor
mesh_terms: D001249:Asthma / Q000517:prevention & control*; D019058:Community Networks / Q000458:organization & administration*; D012380:Role; D018511:Systems Integration; D014481:United States