Tracing the Evolution of Pluralism in Community-Based Coalitions

In this study, a crisis of leadership succession led to greater subsequent pluralism by the previously less inclusive coalition. Substantial tension existed between both coalitions and the federally funded Appalachia Cancer Network, especially around its evidence-based mission. The fact that this te...

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Bibliographic Details
Published in:Health care management review 2004-10, Vol.29 (4), p.329-343
Main Authors: Wells, Rebecca, Ford, Eric W., Holt, Michelle L., McClure, Jennifer A., Ward, Ann
Format: Article
Language:English
Subjects:
Appalachian Region - epidemiology
Benchmarking
Coalitions
Community Networks - organization & administration
Community-Institutional Relations
Cultural Diversity
Decision Making, Organizational
Female
Health Care Coalitions - organization & administration
Health care industry
Health Services Research
Humans
Interinstitutional Relations
Interpersonal Relations
Leadership
Models, Organizational
Multiculturalism & pluralism
Neoplasms - ethnology
Neoplasms - prevention & control
Rural Health Services - organization & administration
Social Conformity
Statistical analysis
Statistical data
Studies
Women's Health Services - organization & administration
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Summary:In this study, a crisis of leadership succession led to greater subsequent pluralism by the previously less inclusive coalition. Substantial tension existed between both coalitions and the federally funded Appalachia Cancer Network, especially around its evidence-based mission. The fact that this tension occurred even at the more locally inclusive site indicates that pluralism may vary across levels within the same coalition. This article contributes to theory by exploring how coalitions evolve over time across community boundaries, as well as to management practice by yielding guidance about how to build inclusive organizations.
ISSN:0361-6274
1550-5030
DOI:10.1097/00004010-200410000-00009