Building successfuli coalitions for promoting advance care planning

摘要: Advance care planning (ACP) has had few successful initiatives. This qualitative study explores the challenges and successes of an advance coalition in Wisconsin called Life Planning 2000 using key informant interviews (n = 24) grounded theory. Major themes included: commitment (the need for leadership, recruitment members, funding); cohesiveness (disparate groups collaborating toward a common purpose), outcomes (shift paradigm from signing documents to process advanced planning, new-found collaborative relationships, educational tool development). Coalitions define short-, intermediate-, long-term goals that result measurable evaluation process. Resources must be commensurate with goals. Strong paid staff adequate funding, collaboration diverse working are basic requirements coalition.