Department of Health Promotion and Administration, College of Health Sciences, Eastern Kentucky University, Richmond, Kentucky 40475, USA.
J Public Health Manag Pract. 2010 Mar-Apr;16(2):110-7. doi: 10.1097/PHH.0b013e3181c6b525.
This study examined the relationship between community and system characteristics of 353 local public health agencies and local public health system performance by revisiting previous research by Mays et al and Scutchfield et al. More recent and coterminous data were used. Local public health agency characteristics were obtained from the National Association of City and County Health Officials' 2005 National Profile of Local Public Health Departments and performance data were obtained from version 1 of the National Public Health Performance Standards Program local performance assessment instrument. Descriptive analyses and multivariate analyses similar to the two previous studies were employed. Population size, presence of a local board of health and whether the board makes policy, educational background of the local public health agency's top executive, and jurisdiction type were found to be important predictors of local public health performance. These findings support some of the earlier findings but do not support all the findings of the earlier studies. Variances are discussed. This study provides researchers and practitioners with an evidence base from which to make suggestions regarding characteristics, many changeable, which may influence system performance.
本研究通过重新审视 Mays 等人和 Scutchfield 等人的先前研究，考察了 353 个地方公共卫生机构的社区和系统特征与当地公共卫生系统绩效之间的关系。使用了更新和同时期的数据。地方公共卫生机构特征来自于全国市和县卫生官员协会（National Association of City and County Health Officials）2005 年的地方公共卫生部门全国概况（National Profile of Local Public Health Departments），绩效数据来自国家公共卫生绩效标准计划（National Public Health Performance Standards Program）地方绩效评估工具的第 1 版。采用了类似于前两项研究的描述性分析和多元分析。研究发现，人口规模、是否存在地方卫生委员会以及该委员会是否制定政策、地方公共卫生机构最高行政长官的教育背景以及管辖类型是地方公共卫生绩效的重要预测因素。这些发现支持了一些早期的发现，但不支持早期研究的所有发现。讨论了差异。本研究为研究人员和从业者提供了一个证据基础，以便就可能影响系统绩效的特征（许多是可改变的）提出建议。
