Miller C A, Moore K S, Richards T B, Monk J D
Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill 27599-7400.
Am J Public Health. 1994 Nov;84(11):1743-9. doi: 10.2105/ajph.84.11.1743.
One of the objectives for the nation for the year 2000 requires that 90% of the population be served by a local health department effectively carrying out the core functions of public health. This study proposes a method whereby determinations can be made of the extent to which a local public health jurisdiction is served by core public health functions, as well as the extent to which the functions are rendered by the health department.
Fourteen health departments under longitudinal study between 1979 and 1992 were studied. Respondents in each department completed a survey protocol using 81 indicators linked to standard public health functions and practices. Results are presented in graphic form, which provides a visual profile of public health performance for a local jurisdiction.
The graphic profiles successfully differentiate one jurisdiction from another, and within each jurisdiction they differentiate the performance levels of different public health practices. The method enables identification of the full range of public health providers.
Current definitions of public health practice have utility for evaluating public health performance. The validity of the proposed method deserves further study.
2000年国家的目标之一是要求90%的人口由有效履行公共卫生核心职能的地方卫生部门提供服务。本研究提出了一种方法，通过该方法可以确定地方公共卫生辖区由核心公共卫生职能提供服务的程度，以及这些职能由卫生部门履行的程度。
对1979年至1992年期间接受纵向研究的14个卫生部门进行了研究。每个部门的受访者使用与标准公共卫生职能和实践相关的81项指标完成了一份调查方案。结果以图表形式呈现，该图表提供了一个地方辖区公共卫生绩效的直观概况。
图表概况成功地区分了一个辖区与另一个辖区，并且在每个辖区内，它们区分了不同公共卫生实践的绩效水平。该方法能够识别出所有的公共卫生服务提供者。
当前公共卫生实践的定义对评估公共卫生绩效有用。所提出方法的有效性值得进一步研究。
