Equity Work Among Accredited Health Departments in the United States, 2015-2021.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2024-07-01 Epub Date: 2023-12-03 DOI:10.1177/00333549231210033

Britt Lang, Jessica Kronstadt, Naomi Rich

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引用次数: 0

Abstract

Objectives: Minimal research has examined the number of health departments conducting work related to equity and/or the kind of work, if any, they are conducting. We examined the relationship between public health accreditation and work related to health equity by analyzing accredited health departments' responses to a prompt in the Public Health Accreditation Board's (PHAB's) annual report.

Methods: We analyzed self-reported responses from accredited health departments to questions about emerging public health issues and innovations in PHAB's annual report. We identified themes using a priori and inductive coding.

Results: A total of 316 health departments submitted an annual report from January 2015 through December 2021. Of those health departments, 283 (89.6%) stated in their annual report that they engaged in work related to health equity, 50 (17.7%) of which provided a narrative about this work. Of those 50 health departments, the most common theme reported was community partnership, described by 23 (46.0%) health departments. The next most reported themes were COVID-19 vaccine access for racially or socioeconomically marginalized communities (n = 17, 34.0%) and programs related to health equity (n = 16, 32.0%).

Conclusions: We found that most accredited health departments conduct work related to health equity. Further research is needed to examine characteristics that influence a health department's likelihood of conducting equity work. Models and resources on how health departments, particularly small health departments, can begin equity work would be valuable.

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2015-2021年美国认可卫生部门公平工作

目标:很少有研究审查了开展与公平有关的工作的卫生部门的数量和(或)它们正在开展的工作的种类(如果有的话)。我们通过分析获得认证的卫生部门对公共卫生认证委员会(PHAB)年度报告中提示的回应，研究了公共卫生认证与卫生公平相关工作之间的关系。方法:我们分析了认可的卫生部门对PHAB年度报告中出现的公共卫生问题和创新问题的自我报告反应。我们使用先验和归纳编码来确定主题。结果:从2015年1月到2021年12月，共有316个卫生部门提交了年度报告。在这些卫生部门中，283个(89.6%)在其年度报告中表示，他们从事与卫生公平有关的工作，其中50个(17.7%)提供了有关这项工作的叙述。在这50个卫生部门中，报告的最常见主题是社区伙伴关系，有23个(46.0%)卫生部门描述了这一主题。其次报告最多的主题是为种族或社会经济边缘化社区提供COVID-19疫苗(n = 17, 34.0%)和与卫生公平相关的项目(n = 16, 32.0%)。结论:我们发现大多数认可的卫生部门开展了与卫生公平相关的工作。需要进一步的研究来检查影响卫生部门开展公平工作的可能性的特征。卫生部门，特别是小型卫生部门如何开展公平工作的模式和资源将是有价值的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.