Zahner Susan J, Kaiser Betty, Kapelke-Dale Jessica
University of Wisconsin-Madison, 53792, USA.
J Public Health Manag Pract. 2005 Sep-Oct;11(5):460-4. doi: 10.1097/00124784-200509000-00016.
Community assessment is a core function of public health. National and state policies encourage local health departments (LHDs) to engage local partners in conducting community assessments. This study examined the prevalence, characteristics, and effectiveness of community assessment partnerships between LHDs and other organizations.
LHDs in Wisconsin completed a 2-stage, cross-sectional survey. A subset analysis of community assessment partnerships was conducted using descriptive, bivariate, and multivariate statistical methods.
Ninety percent of LHDs reported a partnership focused on community assessment (n = 69). Sixty-six percent of community assessment partnerships had existed for three or more years, and all of these had implemented plans (n = 43). Community assessment partnerships were more likely than partnerships focused on other issues to have formed because of a mandate, to include many partners, and to receive some forms of financial support from the LHD. Partnerships focused on community assessment were no more likely to be effective than other types of partnerships.
LHDs and community partners realize mutual benefits from collaborating on community assessment. Successful community assessment partnerships can be supported by building competencies in the public health workforce and sustaining partnerships for substantial periods of time.
社区评估是公共卫生的核心职能。国家和州政策鼓励地方卫生部门(LHDs)与当地合作伙伴共同开展社区评估。本研究调查了LHDs与其他组织之间社区评估伙伴关系的普遍性、特征和有效性。
威斯康星州的LHDs完成了一项两阶段横断面调查。使用描述性、双变量和多变量统计方法对社区评估伙伴关系进行了子集分析。
90%的LHDs报告称存在专注于社区评估的伙伴关系(n = 69)。66%的社区评估伙伴关系已存在三年或更长时间,且所有这些伙伴关系都已实施了计划(n = 43)。与专注于其他问题的伙伴关系相比,社区评估伙伴关系因一项指令而形成、包含众多伙伴并从LHD获得某种形式财政支持的可能性更大。专注于社区评估的伙伴关系并不比其他类型的伙伴关系更有可能有效。
LHDs和社区伙伴通过在社区评估方面开展合作实现互利。成功的社区评估伙伴关系可以通过培养公共卫生工作人员的能力并在相当长的时间内维持伙伴关系来得到支持。