New York State Association of County Health Officials, Albany, New York (Mss Ravenhall, Levy, Simpson, Fleming, and DiManno); and Region 2 Public Health Training Center at the Mailman School of Public Health, Columbia University, New York, New York (Mss Arana, and Grijalva and Dr Murrman).
J Public Health Manag Pract. 2021;27(3):240-245. doi: 10.1097/PHH.0000000000001340.
A mixed-methods approach was taken to describe lessons learned by local health department leaders during the early stages of the COVID-19 pandemic in New York State and to document leaders' assessments of their departments' emergency preparedness capabilities and capacities. Leaders participating in a survey rated the effectiveness of their department's capabilities and capacities in administrative and public health preparedness, epidemiology, and communications on a scale from 1 to 5; those partaking in focus groups answered open-ended questions about the same 4 topics. Subjects rated intragovernmental activities most effective ( = 4.41, SD = 0.83) and reported receiving assistance from other county agencies. They rated level of supplies least effective ( = 3.03, SD = 1.01), describing low supply levels and inequitable distribution of testing materials and personal protective equipment among regions. Local health departments in New York require more state and federal aid to maintain the public health workforce in preparation for future emergencies.
采用混合方法描述了纽约州地方卫生部门领导人在 COVID-19 大流行早期阶段的经验教训，并记录了领导人对其部门应急准备能力的评估。参与调查的领导人在 1 到 5 的范围内对其部门在行政和公共卫生准备、流行病学和沟通方面的能力和能力的有效性进行了评分；参加焦点小组的人回答了关于这 4 个主题的开放式问题。受访者认为政府内部活动最有效（=4.41，SD=0.83），并表示从其他县机构获得了援助。他们对物资供应的评价最低（=3.03，SD=1.01），描述了供应水平低，以及各地之间检测材料和个人防护设备分配不均的情况。纽约州的地方卫生部门需要更多的州和联邦援助，以维持公共卫生劳动力，为未来的紧急情况做好准备。
