Jill Inderstrodt, PhD, is Graduate Student, Brian Lamb School of Communication, Purdue University, West Lafayette, Indiana. Evan K. Perrault, PhD, is Assistant Professor, Brian Lamb School of Communication, Purdue University, West Lafayette, Indiana. Elizabeth A. Hintz, MA, is Graduate Student, University of South Florida Department of Communication, Tampa. At the time the research was completed, she was Graduate Student, Brian Lamb School of Communication, Purdue University, West Lafayette, Indiana. Grace M. Hildenbrand, MA, is Graduate Student, Brian Lamb School of Communication, Purdue University, West Lafayette, Indiana.
Nurs Res. 2019 Sep/Oct;68(5):405-412. doi: 10.1097/NNR.0000000000000364.
Healthy People 2020 has made achieving health equity one of its overarching goals; another goal is increasing the number of accredited local agencies that have Community Health Improvement Plans (CHIPs). Community Health Improvement Plans are meant to serve agencies as guiding documents for multiple years.
This study investigates the prevalence with which health disparities are addressed within CHIPs and the specific health disparities targeted by these objectives.
Researchers analyzed 4,094 objectives from CHIPs of 280 local Public Health Accreditation Board (PHAB)-accredited and nonaccredited public health agencies in the United States.
Despite the PHAB's focus on addressing health equity, not all PHAB-accredited agencies addressed health disparities (85.4% of CHIPs analyzed). However, more accredited than nonaccredited agencies (73.9%) contained at least one objective focused on health disparities.
Findings indicate that if health equity is truly a goal of national initiatives, agencies' planning documents (e.g., CHIPs) can do a better job addressing commonly ignored populations.
《健康人民 2020》将实现健康公平作为其总体目标之一；另一个目标是增加具有社区卫生改善计划（CHIP）的认证地方机构的数量。社区卫生改善计划旨在为多年来的机构提供指导文件。
本研究调查了 CHIP 中解决健康差距的普遍性以及这些目标针对的具体健康差距。
研究人员分析了美国 280 个公共卫生认证委员会（PHAB）认证和非认证公共卫生机构的 CHIPs 中的 4094 个目标。
尽管 PHAB 专注于解决健康公平问题，但并非所有 PHAB 认证机构都解决了健康差距问题（分析的 CHIPs 中有 85.4%）。然而，认证机构比非认证机构（73.9%）更包含至少一个关注健康差距的目标。
研究结果表明，如果健康公平确实是国家倡议的目标，那么机构的规划文件（如 CHIPs）可以更好地解决通常被忽视的人群的问题。
