University of Washington, Seattle, WA, USA.
Health Educ Behav. 2011 Jun;38(3):222-30. doi: 10.1177/1090198110371463.
Steps to Health King County (Steps KC; Seattle, Washington) was one of 40 community-level initiatives funded in 2003 as part of the Steps to a HealthierUS initiative. Steps KC goals included reducing the impact of chronic diseases through a comprehensive, coordinated approach and reducing health disparities due to chronic illness. Steps KC intervention activities took place on two levels: the overall Steps KC collaborative and individual funded programs. Collaborative-level activities included policy and systems change initiatives and efforts to better integrate the funded-program organizations. The funded programs ranged from group health promotion programs to intensive case management. Steps KC was successful in creating a large, diverse community collaborative and funding 14 separate programs that reached approximately 8,000 community residents with medium- and high-intensity programs of demonstrated effectiveness. Systems change initiatives within school districts and government agencies led to a greater institutional emphasis on health promotion and on partnership with communities to address health inequities.
健康金县计划（Steps KC；华盛顿州西雅图市）是 2003 年作为“迈向更健康的美国”计划的一部分资助的 40 个社区级倡议之一。Steps KC 的目标包括通过综合协调的方法减少慢性病的影响，并减少因慢性病导致的健康差距。Steps KC 的干预活动发生在两个层面上：整个 Steps KC 协作和各个资助项目。协作层面的活动包括政策和系统变革倡议，以及努力更好地整合资助项目组织。资助的项目从团体健康促进计划到强化病例管理不等。Steps KC 成功地创建了一个庞大而多样化的社区协作，并资助了 14 个单独的项目，这些项目通过具有明显效果的中高强度项目，使大约 8000 名社区居民受益。学区和政府机构内的系统变革倡议导致更加强调促进健康，并与社区建立伙伴关系，以解决健康不平等问题。
