Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri.
Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri.
Am J Prev Med. 2018 Feb;54(2):275-283. doi: 10.1016/j.amepre.2017.09.006. Epub 2017 Nov 20.
Research and lessons from community implementation have informed evidence-based practices that can improve the effectiveness of health initiatives. Administrative evidence-based practices (A-EBPs) facilitate the role of public health departments in implementing the most effective programs and policies. The purpose of this study is to describe A-EBPs in relation to characteristics of chronic disease practitioners in state health departments.
Randomly selected chronic disease practitioners who worked in state health departments were invited to complete an online survey in 2016. The survey included questions on five domains of A-EBPs: workforce development, leadership, culture and climate, relationships and partners, and financial practices. State-level variables that could potentially affect the use of A-EBPs were collected and used in a regression model.
Analysis was conducted in 2016 on data from 571 respondents. Mean percentages of those who strongly agreed/agreed were lowest for financial practices (41.49%) and leadership (42.33%) with higher means for culture and climate (54.52%) and relationships and partners (58.71%). State poverty level was the only significant predictor of A-EBP scores after adjusting for other covariates in a regression model.
These results show several areas of high agreement with A-EBP within the domains measured as well as opportunities for improvement. Highlighting the importance of A-EBPs to public health leadership level may enhance practice. There is also need for developing plans for an aging workforce and cultivating partnerships with health care and other sectors. Findings can be used to target training for enhancement of A-EBPs within state health departments.
社区实施的研究和经验为循证实践提供了信息，这些实践可以提高卫生倡议的效果。行政循证实践（A-EBPs）有助于公共卫生部门在实施最有效的项目和政策方面发挥作用。本研究的目的是描述与州卫生部门慢性病从业者特征相关的 A-EBPs。
随机选取在州卫生部门工作的慢性病从业者，邀请他们在 2016 年完成在线调查。该调查包括五个 A-EBP 领域的问题：劳动力发展、领导力、文化和氛围、关系和合作伙伴以及财务实践。收集了可能影响 A-EBP 使用的州级变量，并在回归模型中使用了这些变量。
2016 年对 571 名受访者的数据进行了分析。强烈同意/同意的平均百分比最低的是财务实践（41.49%）和领导力（42.33%），文化和氛围（54.52%）和关系和合作伙伴（58.71%）的平均值较高。在回归模型中调整其他协变量后，州贫困水平是 A-EBP 评分的唯一显著预测因素。
这些结果表明，在所测量的 A-EBP 领域内，有几个方面高度一致，并且有改进的机会。向公共卫生领导层强调 A-EBPs 的重要性可能会增强实践。还需要制定计划，以应对劳动力老龄化的问题，并培养与医疗保健和其他部门的伙伴关系。调查结果可用于针对州卫生部门的 A-EBP 培训进行培训。
