Department of Health Policy and Management, Indiana University Fairbanks School of Public Health, Indianapolis, Indiana (Dr Yeager); Department of Global Health Management & Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana (Ms Wharton); and Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, Florida (Dr Beitsch).
J Public Health Manag Pract. 2020 Jan/Feb;26(1):57-66. doi: 10.1097/PHH.0000000000000750.
Public health accreditation is an ongoing national movement to improve the quality of public health departments and the public health system in the United States; however, calls have been made for more evidence regarding best practices in the accreditation process.
The purpose of this work is to provide evidence about best practices in the accreditation process, specifically within the workforce development domain. It is the first in-depth investigation into workforce development using data collected by Public Health Accreditation Board (PHAB).
Using deidentified accreditation application data from PHAB, this study employs a mixed-methods approach to examining practices, lessons learned, challenges, and strategies pertaining to workforce development planning for Domain 8.
United States.
US state (n = 19) and local health departments (n = 115).
Public Health Accreditation Board assessment scores for the workforce measures and the relationship between the health department's approach to meeting a PHAB measure criteria and the PHAB assessment score.
Of the 9 different approaches identified as ways of encouraging the development of a sufficient number of qualified public health workers (version 1, measure 8.1.1), only 1 approach (local health department internship programs with schools of public health; B = 0.25, P < .03) was significantly related to higher scores. An opportunity for improvement identified for measure 8.2.1 was that plans missing a clear identification of the gap between current staff competencies and staff needs were associated with a 0.88-point decrease in the 4-point score (P < .001).
Findings suggest that there are approaches adopted for meeting PHAB domain 8 measures that will impact the overall conformance assessment and score of a health department pursuing accreditation. There are several opportunities for improvement that health departments might consider when planning for accreditation or assessing their activities.
公共卫生认证是美国一项持续的国家行动，旨在提高公共卫生部门和公共卫生系统的质量；然而，人们呼吁提供更多关于认证过程最佳实践的证据。
本研究旨在提供认证过程中最佳实践的证据，特别是在劳动力发展领域。这是首次使用公共卫生认证委员会（PHAB）收集的数据深入调查劳动力发展。
本研究使用 PHAB 的匿名认证申请数据，采用混合方法方法，检查与域 8 的劳动力发展规划相关的实践、经验教训、挑战和策略。
美国。
美国州（n = 19）和地方卫生部门（n = 115）。
劳动力措施的公共卫生认证委员会评估分数以及卫生部门满足 PHAB 措施标准的方法与 PHAB 评估分数之间的关系。
在所确定的 9 种不同方法中，只有 1 种方法（与公共卫生学校合作的地方卫生部门实习计划；B = 0.25，P <.03）与更高的分数显著相关，以鼓励发展足够数量的合格公共卫生工作者（版本 1，措施 8.1.1）。对于措施 8.2.1，发现一个改进的机会是，计划中没有明确确定当前员工能力与员工需求之间的差距，这与 4 分制评分降低 0.88 分（P <.001）有关。
研究结果表明，有一些方法被采用来满足 PHAB 第 8 域的措施，这将影响寻求认证的卫生部门的整体一致性评估和分数。在规划认证或评估其活动时，卫生部门可能需要考虑一些改进的机会。
