Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts
Purpose: There is a critical push toward addressing equity in health care. Community coalitions are uniquely situated to heed this call by tackling issues of equity and well-being that are the most relevant for their local context. This article analyzes internal and external contextual factors that...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2019-08-01
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| Series: | Health Equity |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0061 |
| _version_ | 1827386877424959488 |
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| author | Ariel M. Domlyn Shemekka Coleman |
| author_facet | Ariel M. Domlyn Shemekka Coleman |
| author_sort | Ariel M. Domlyn |
| collection | DOAJ |
| description | Purpose: There is a critical push toward addressing equity in health care. Community coalitions are uniquely situated to heed this call by tackling issues of equity and well-being that are the most relevant for their local context. This article analyzes internal and external contextual factors that may affect coalitions' prioritization of equity.
Methods: Data were collected from 18 coalitions participating in a national, U.S.-based initiative aimed at strengthening community coalition work through the principles of equity and inclusion. A hybrid qualitative?quantitative method (qualitative comparative analysis [QCA]) was conducted using the direct method of calibration and fuzzy set QCA and to obtain casual sufficiency results.
Results: Coalitions located in states that did not expand Medicaid after the Affordable Care Act were most likely to prioritize equity, as were coalitions who were both working with marginalized populations and had low organizational readiness for the initiative. However, only one case demonstrated the latter causal solution; the former accounts for greater coverage of the outcome.
Conclusion: This study illustrates the use of QCA for evaluation and underscores the critical role of contextual factors for affecting meaningful community-level change. Coalitions are willing and able to prioritize tackling health inequities across settings, but those in settings with low state-level support may be more likely to emphasize inequities in their work. |
| first_indexed | 2024-03-08T15:52:59Z |
| format | Article |
| id | doaj.art-bb51ed6618f3442385fefd7380a8d322 |
| institution | Directory Open Access Journal |
| issn | 2473-1242 |
| language | English |
| last_indexed | 2024-03-08T15:52:59Z |
| publishDate | 2019-08-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Health Equity |
| spelling | doaj.art-bb51ed6618f3442385fefd7380a8d3222024-01-09T04:16:23ZengMary Ann LiebertHealth Equity2473-12422019-08-013141742210.1089/HEQ.2019.0061Prioritizing Equity: Exploring Conditions Impacting Community Coalition EffortsAriel M. DomlynShemekka ColemanPurpose: There is a critical push toward addressing equity in health care. Community coalitions are uniquely situated to heed this call by tackling issues of equity and well-being that are the most relevant for their local context. This article analyzes internal and external contextual factors that may affect coalitions' prioritization of equity. Methods: Data were collected from 18 coalitions participating in a national, U.S.-based initiative aimed at strengthening community coalition work through the principles of equity and inclusion. A hybrid qualitative?quantitative method (qualitative comparative analysis [QCA]) was conducted using the direct method of calibration and fuzzy set QCA and to obtain casual sufficiency results. Results: Coalitions located in states that did not expand Medicaid after the Affordable Care Act were most likely to prioritize equity, as were coalitions who were both working with marginalized populations and had low organizational readiness for the initiative. However, only one case demonstrated the latter causal solution; the former accounts for greater coverage of the outcome. Conclusion: This study illustrates the use of QCA for evaluation and underscores the critical role of contextual factors for affecting meaningful community-level change. Coalitions are willing and able to prioritize tackling health inequities across settings, but those in settings with low state-level support may be more likely to emphasize inequities in their work.https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0061community coalitionsqualitative comparative analysisprogram evaluationhealth inequity |
| spellingShingle | Ariel M. Domlyn Shemekka Coleman Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts Health Equity community coalitions qualitative comparative analysis program evaluation health inequity |
| title | Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts |
| title_full | Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts |
| title_fullStr | Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts |
| title_full_unstemmed | Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts |
| title_short | Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts |
| title_sort | prioritizing equity exploring conditions impacting community coalition efforts |
| topic | community coalitions qualitative comparative analysis program evaluation health inequity |
| url | https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0061 |
| work_keys_str_mv | AT arielmdomlyn prioritizingequityexploringconditionsimpactingcommunitycoalitionefforts AT shemekkacoleman prioritizingequityexploringconditionsimpactingcommunitycoalitionefforts |