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American Journal of Hospice and Palliative Medicine®, Vol. 23, No. 2,
119-126 (2006)
DOI: 10.1177/104990910602300209
Building successfuli coalitions for promoting advance care planning
Lucille Marchand, MD
Department of Family Medicine, University of Wisconsin Medical School, Madison, Wisconsin
Kathryn J. Fowler, BS
University of Wisconsin Medical School, Madison, Wisconsin
Obrad Kokanovic, BS
University of Wisconsin Medical School, Madison, Wisconsin
Advance care planning (ACP) has had few successful initiatives. This qualitative study explores the challenges and successes of an advance care planning coalition in Wisconsin called Life Planning 2000 using key informant interviews (n = 24) and grounded theory. Major themes included: commitment (the need for leadership, recruitment of key members, and funding); cohesiveness (disparate groups collaborating toward a common purpose); and outcomes (shift in paradigm from signing documents to process of advanced care planning, new-found collaborative relationships, and educational tool development). Coalitions need to define short-, intermediate-, and long-term goals that result in measurable outcomes and an evaluation process. Resources must be commensurate with goals. Strong leadership, paid staff, adequate funding, and the collaboration of diverse groups working toward common goals are the basic requirements of a successful coalition.
Key Words: advance directives • advance care planning • palliative care
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