Center for Public Health, University of Tennessee, Knoxville, TN 37996, USA.
Am J Public Health. 2011 Apr;101(4):609-15. doi: 10.2105/AJPH.2009.177451. Epub 2010 Jun 17.
We explored the association between changes in local health department (LHD) resource levels with changes in health outcomes via a retrospective cohort study. We measured changes in expenditures and staffing reported by LHDs on the 1997 and 2005 National Association of County and City Health Officials surveys and assessed changes in state-level health outcomes with the America's Health Rankings reports for those years. We used pairwise correlation and multivariate regression to analyze the association of changes in LHD resources with changes in health outcomes. Increases in LHD expenditures were significantly associated with decreases in infectious disease morbidity at the state level (P = .037), and increases in staffing were significantly associated with decreases in cardiovascular disease mortality (P = .014), controlling for other factors.
我们通过回顾性队列研究，探讨了地方卫生部门（LHD）资源水平变化与健康结果变化之间的关联。我们测量了 LHD 在 1997 年和 2005 年全国县和市卫生官员协会调查中报告的支出和人员配备的变化，并使用美国健康排名报告评估了这些年份的州级健康结果的变化。我们使用成对相关和多元回归分析 LHD 资源变化与健康结果变化之间的关联。LHD 支出的增加与州级传染病发病率的降低显著相关（P =.037），人员配备的增加与心血管疾病死亡率的降低显著相关（P =.014），控制了其他因素。
