地方卫生局超预算情况与公共卫生机构评审委员会（PHAB）认证标准得分之间的关联
Association Between Local Boards of Health Authority Over Budgets and PHAB Accreditation Standard Score.
作者信息
Dada Oluwatosin O, Bekemeier Betty, Flaxman Abraham, de Castro A B
机构信息
Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, Washington.
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington.
出版信息
AJPM Focus. 2023 Jan 20;2(2):100070. doi: 10.1016/j.focus.2023.100070. eCollection 2023 Jun.
INTRODUCTION
This study examined the relationship between local board of health authority and local health departments' budget-related activities and performance scores in the Public Health Accreditation Board standards while considering the governance structure under which the local health agencies operate.
METHODS
Data from 250 local health departments were obtained from the Public Health Accreditation Board and were combined with data from the 2016 National Association of County and City Officials Profile Survey. Multilevel regression analysis was used to examine the relationship between local board of health authority on local health departments' budget-related activities, using the governance structure as the group-level variable.
RESULTS
Analyses identified positive associations between local board of health authority on local health departments' budget-related activities and local health departments' aggregate average performance scores in Public Health Accreditation Board accreditation. No apparent association was found between the type of governance structure under which a local health department operates and performance scores in Public Health Accreditation Board accreditation standards, perhaps attributable to variation in the characteristics and roles of their governing bodies.
CONCLUSIONS
The analyses suggest that local boards of health with authority related to local health departments' budgets appear to have an influential role in budget-related activities and may improve local health departments' performance scores in Public Health Accreditation Board accreditation standards. However, vast variations in more specific local boards of health roles and characteristics exist across local health departments and for which there are no national data. More research is thus needed to control for or examine the influences of specific local boards of health characteristics before the benefits of expanded local boards of health authority over local health departments' budgetary decision making on local health departments' performance can be fully understood.
引言
本研究考察了地方卫生局与地方卫生部门在公共卫生认证委员会标准下与预算相关活动及绩效得分之间的关系，同时考虑了地方卫生机构运作的治理结构。
方法
从公共卫生认证委员会获取了250个地方卫生部门的数据，并将其与2016年全国县市官员协会概况调查的数据相结合。使用多水平回归分析，以治理结构作为组水平变量，考察地方卫生局对地方卫生部门与预算相关活动的关系。
结果
分析确定了地方卫生局对地方卫生部门与预算相关活动与地方卫生部门在公共卫生认证委员会认证中的总体平均绩效得分之间存在正相关。未发现地方卫生部门运作的治理结构类型与公共卫生认证委员会认证标准中的绩效得分之间存在明显关联，这可能归因于其管理机构的特征和作用的差异。
结论
分析表明，对地方卫生部门预算具有权力的地方卫生局似乎在与预算相关的活动中发挥着有影响力的作用，并可能提高地方卫生部门在公共卫生认证委员会认证标准中的绩效得分。然而，各地方卫生部门在更具体的地方卫生局角色和特征方面存在巨大差异，且没有全国性数据。因此，在能够充分理解扩大地方卫生局对地方卫生部门预算决策的权力对地方卫生部门绩效的益处之前，需要更多研究来控制或考察特定地方卫生局特征的影响。
Zotero 插件