Process evaluation of a regional public health model to reduce chronic disease through policy and systems changes, Washington State, 2010-2014

Preventing Chronic Disease
Lina P WalkinshawPeggy A Hannon

Abstract

Although the regionalization of public health systems has been well documented in the case of emergency preparedness, there is little literature on the application of regional approaches to other aspects of public health. From 2011 through 2014 the Washington State Department of Health implemented a Community Transformation Grant to support community-level policy and systems changes to decrease chronic disease risk factors and increase access to clinical preventive services. The Department of Health implemented the grant through a regional model, grouping 32 of the state's 35 local health jurisdictions into 5 regions. Our process evaluation identifies the challenges and facilitators to Community Transformation Grant planning and implementation. We conducted 34 key informant interviews with people directly involved in the implementation of the Community Transformation Grant. We interviewed state and local partners, including representatives from each region, the Department of Health, external consultants, and regional partners. We collected data from October 2013 through July 2014. Challenges for planning, building, and implementing a regional model for chronic disease prevention included stakeholder buy-in, regional geography, ...Continue Reading

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Aug 16, 2017·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Yuka AsadaMichael C Fagen
Mar 7, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Elizabeth M VaughanDavid J Hyman
Jun 13, 2019·BMC Public Health·Lori Baugh Littlejohns, Andrew Wilson

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