Ford E W, Duncan W J, Ginter P M
Tulane University, 1430 Tulane Avenue, New Orleans, LA 70112-26992, USA.
Public Health. 2005 Jan;119(1):11-21. doi: 10.1016/j.puhe.2004.03.002.
The purpose of this article was to investigate the relationship between state health agencies' adherence to the recommendations of the United State's Institute of Medicine's (IOM) report, "The Future of Public Health", and changes in their populations' health.
Data were abstracted from agencies' plans, budgets, annual reports, etc. spanning a 5-year period. A comprehensive change in population health measure over the same period was drawn from the UnitedHealth Group's annual survey.
Configurations, based on public health core functions, were established using linear regression and qualitative comparative analysis. The dependent variable was a holistic measure of change in a state population's health status.
State agencies that most completely adopted a public health model emphasizing assessment, assurance and policy development also experienced significant improvements in their population health measures.
State agencies that more completely adopted the IOM's public health core functions had a concomitant improvement in their populations' health statuses. Further research to explore if there is a causal link between adoption of the core functions and positive health impacts is warranted.
本文旨在调查州卫生机构对美国医学研究所（IOM）报告《公共卫生的未来》建议的遵循情况与其人口健康变化之间的关系。
数据取自机构跨越5年的计划、预算、年度报告等。同期人口健康综合变化指标来自联合健康集团的年度调查。
基于公共卫生核心职能，运用线性回归和定性比较分析确定配置情况。因变量是一个州人口健康状况变化的整体指标。
最全面采用强调评估、保障和政策制定的公共卫生模式的州机构，其人口健康指标也有显著改善。
更全面采用IOM公共卫生核心职能的州机构，其人口健康状况也随之改善。有必要进一步研究以探索采用核心职能与积极健康影响之间是否存在因果关系。
