title: The Healthy ALLiances (HALL) framework: prerequisites for success.
abstract: BACKGROUND
  Chronic conditions are on the rise worldwide, and there is increasingly a call for the primary care and public health sectors to join forces in alliances. GPs have an important role to play in such alliances. However, successful cooperation is not as obvious as it may seem, and the sectors are not used to working together.
  
  
  OBJECTIVE
  The objective is to identify conditions and prerequisites for successful alliances.
  
  
  METHODS
  Identification of conditions and prerequisites is mainly based on stepwise analysis and iterative developments in research on collaboration processes in the area of health promotion and public health.
  
  
  RESULTS
  The process as a whole resulted in the framework presented in this paper. This so-called HALL framework identifies three clusters of factors that either hinder or facilitate the success of alliances: (i) institutional factors, (ii) personal factors of participants in the alliance and (iii) factors relating to the organization of the alliance. The institutional and personal factors 'stick' to the stakeholders and are brought into the alliance. The third group refers to the lessons learned from dealing with the first two characteristics to make the alliance successful.
  
  
  CONCLUSIONS
  Partners in alliances bring in personal attributes and institutional characteristics that can form obstacles to successful alliances, but, when they are addressed in a flexible and positive way, obstacles can be turned in contributory factors, leading to many potential benefits, such as collaborative learning and innovation.
authors.affiliation: Health and Society, Wageningen University, Wageningen, The Netherlands. maria.koelen@wur.nl
authors.forename: Maria A
authors.initials: MA
authors.lastname: Koelen
authors.forename: Lenneke
authors.initials: L
authors.lastname: Vaandrager
authors.forename: Annemarie
authors.initials: A
authors.lastname: Wagemakers
mesh_terms: D003142:Communication; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D017146:Models, Organizational; D011320:Primary Health Care / Q000458:organization & administration*; D011634:Public Health; D055818:Public-Private Sector Partnerships / Q000458:organization & administration*