Krieger James W, Bourcier Emily, Lara Marielena, Peterson Jane W, Rosenthal Michael P, Taylor-Fishwick Judith C, Friedman Amy R, Lachance Laurie L, Doctor Linda Jo
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.
Health Promot Pract. 2006 Apr;7(2 Suppl):127S-138S. doi: 10.1177/1524839906287059.
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.
针对儿童哮喘的活动往往是分散的。联盟促进整合，即跨部门和部门内部同时开展的哮喘控制活动的协调一致。系统整合从组织角度描述活动。活动包括制定共同愿景、促进哮喘教育和自我管理支持的一致性、提高对临床指南的依从性、联合倡导政策变革以及共同寻求资金。服务整合描述的是通过组织内部和组织间的协调来确保无缝、全面服务的活动。活动包括利用社区卫生工作者和护士进行护理协调、项目交叉转诊以及临床质量改进。整合是联盟可持续发挥的作用，因为它比服务提供所需资源更少，并能使系统变革制度化。寻求整合哮喘控制的组织可能会从中受益。
