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Health Education & Behavior
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Management and Governance Processes in Community Health Coalitions: A Procedural Justice Perspective

Bryan J. Weiner, PhD

Health Policy and Administration, University of North Carolina, Chapel Hillweiner{at}email.unc.edu

Jeffrey A. Alexander, PhD

Health Management and Policy, University of Michigan School of Public Health, Ann Arbor

Stephen M. Shortell, PhD

Division of Health Policy and Management, University of California, Berkeley

Community-based coalitions are a popular strategy for promoting community health despite the fact that coalitions often fail to achieve measurable results. Using a procedural justice framework, this study seeks to advance knowledge about the relationship between coalition governance and management processes and indicators of coalition functioning. Member survey data from 25 coalitions participating in the Community Care Network Demonstration Program were analyzed using two-stage least squares regression. Results show that personal influence in decision making, decision process clarity, and collaborative conflict resolution were significantly associated with procedural fairness perceptions. Procedural fairness perceptions, in turn, were positively associated with member satisfaction with coalition decisions, but not personal engagement in the coalition or organizational integration of coalition goals and activities. Personal influence in decision making and collaborative conflict resolution also exhibited direct relationships with all three indicators of coalition functioning examined in the study.

Health Education & Behavior, Vol. 29, No. 6, 737-754 (2002)
DOI: 10.1177/109019802237941
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This article has been cited by other articles:


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[Abstract] [PDF]