Tracing the evolution of pluralism in community-based coalitions

Rebecca Wells, Eric W. Ford, Michelle L. Holt, Jennifer A. McClure, Ann Ward

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)329-343
Number of pages15
JournalHealth Care Management Review
Issue number4
StatePublished - Oct 2004
Externally publishedYes


  • Coalition
  • Cross-level
  • Diversity
  • Pluralism

ASJC Scopus subject areas

  • Health(social science)
  • General Health Professions


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