Savoia Elena, Rodday Angie Mae, Stoto Michael A
Center for Public Health Preparedness, Harvard School of Public Health, Boston, MA 02115, USA.
Health Serv Res. 2009 Oct;44(5 Pt 2):1909-24. doi: 10.1111/j.1475-6773.2009.01009.x. Epub 2009 Aug 17.
To study the relationship between elements of public health infrastructure and local public health emergency preparedness (PHEP).
DATA SOURCES/STUDY SETTING: National Association of County and City Health Officials 2005 National Profile of Local Health Departments (LHDs).
Cross-sectional.
LHDs serving larger populations are more likely to have staff, capacities, and activities in place for an emergency. Adjusting for population size, the presence of a local board of health and the LHDs' experience in organizing PHEP coalitions were associated with better outcomes.
The results of this study suggest that more research should be conducted to investigate the benefit of merging small health departments into coalitions to overcome the inverse relationship between preparedness and population size of the jurisdiction served by the LHD.
研究公共卫生基础设施要素与地方公共卫生应急准备（PHEP）之间的关系。
数据来源/研究背景：全国县市卫生官员协会2005年地方卫生部门全国概况。
横断面研究。
为人口较多地区服务的地方卫生部门更有可能拥有应急方面的工作人员、能力和活动。在调整人口规模后，地方卫生委员会的存在以及地方卫生部门组织公共卫生应急准备联盟的经验与更好的结果相关。
本研究结果表明，应开展更多研究，以调查将小型卫生部门合并为联盟的益处，以克服地方卫生部门服务辖区的应急准备与人口规模之间的反比关系。
