Journal of Public Health Management and Practice最新文献

{"title":"Beyond Public Health and Medicine: The Potential Impact of GLP-1s and Other Incretin Mimetic Medications on Greenhouse Gas Emissions.","authors":"Devin M Mann, Cassandra Thiel, Natalie Henning, Katharine Lawrence, Elizabeth R Stevens","doi":"10.1097/PHH.0000000000002387","DOIUrl":"10.1097/PHH.0000000000002387","url":null,"abstract":"<p><strong>Abstract: </strong>Manufacturing and use of pharmaceuticals is responsible for nearly 20% of US health care's greenhouse gas footprint. As highly effective weight-loss medications such as incretin mimetics become widely prescribed, it is important to understand environmental implications. More than 33.5 million Americans have tried incretin mimetic medications (IMMs), and nearly 30 million are projected to be consistent users by 2030. This article examines the broader potential implications of glucagon-like peptide-1 and other IMMs on climate change. We conducted a preliminary and speculative carbon footprint of IMMs using a life cycle assessment approach. Our findings suggest widespread IMM use could reduce greenhouse gas emissions by decreasing caloric consumption, food production, and health care activities, leading to a maximum estimated reduction of 760 kg CO2e/person/year. This reduction would be greater than the environmental benefits of switching to electric vehicles or adopting a vegetarian diet. This study highlights the need for more research into potential environmental benefits of IMMs.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"811-816"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13359041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partnerships for Public Health Emergency Preparedness: A Survey of US Health and Human Services Region 10 Local Health Departments.","authors":"Ashley Moore, Betty Bekemeier, Resham Patel, Francisca Santana, Nicole A Errett","doi":"10.1097/PHH.0000000000002384","DOIUrl":"10.1097/PHH.0000000000002384","url":null,"abstract":"<p><strong>Context: </strong>Public health organizations and researchers recognize community engagement as a critical practice for promoting the health and well-being of communities, but gaps remain in our understanding of factors that contribute to the development and implementation of community partnerships related to public health emergency preparedness (PHEP), particularly after the COVID-19 pandemic.</p><p><strong>Objective: </strong>To assess contextual factors that are associated with PHEP community engagement among local health departments (LHDs).</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Setting: </strong>Health and Human Services (HHS) Region 10 (Alaska, Idaho, Oregon, Washington).</p><p><strong>Participants: </strong>PHEP practitioners who work at LHD.</p><p><strong>Main outcome measures: </strong>We developed a novel Community Engagement Scale (CES) to measure the level of community engagement activities among each LHD and adapted the Implementation Leadership Scale (ILS) to measure participants' commitment to community partnerships in PHEP.</p><p><strong>Results: </strong>LHDs 34% (n = 26) within Health and Human Services Region 10 responded to our survey, including 17 from Washington, 4 from Oregon, and 3 from Idaho. Participants had a mean of 4.9-year experience in PHEP. The mean Community Engagement Scale score was 13.4 out of 32, with a higher score indicating a greater number and frequency of community engagement activities. The mean Implementation Leadership Scale score was 30.1 out of 48, with a higher score indicating greater participant commitment to PHEP community engagement. The state in which the LHD is located was associated with community engagement activities and individual-level commitment to community partnerships. Individual years of experience in PHEP was associated with individual-level commitment to community partnerships.</p><p><strong>Conclusions: </strong>This study provides a baseline assessment of engagement and partnership activities among LHDs in Region 10 using novel measures. Experience in PHEP and participants' commitment to PHEP community engagement were associated with partnership activities. Additional research is needed to uncover the state-level differences in community engagement activities and commitment to partnerships.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"758-767"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing Better Experiences: A Customer-Driven Approach to Improvements Across the Centers for Disease Control and Prevention Grants Management Lifecycle.","authors":"Nancy Habarta, Brittany Argotsinger, Carlos Zometa, Charles M Heilig, Katie Bennett, Ermias Belay","doi":"10.1097/PHH.0000000000002393","DOIUrl":"10.1097/PHH.0000000000002393","url":null,"abstract":"<p><strong>Objective: </strong>This manuscript aims to describe methods used to measure satisfaction among Centers for Disease Control and Prevention (CDC)-funded state, tribal, local, and territorial (STLT) jurisdictions throughout the grants management lifecycle. We also illustrate how CDC's development of a customer experience model was used to engage staff in consideration of agencywide improvements to strengthen grantmaking systems, operations, and procedures.</p><p><strong>Design, setting, and participants: </strong>The American Customer Satisfaction Index methodology was used to assess strengths and opportunities for improvement in operational support and customer service provided to CDC-funded STLT jurisdictions. In May 2024, a survey was sent to 2032 principal investigators or project directors for directly funded CDC grants and cooperative agreements to STLTs, active in December 2023.</p><p><strong>Main outcome measures: </strong>Survey data were used to create a CDC-specific cause-and-effect model that measured customer experience across the grants management lifecycle. The model identified 7 satisfaction drivers (partnership, flexibility, monitoring and reporting, communication, application process, overall support and guidance, and training and technical assistance), a customer satisfaction index measure, and 2 future behaviors linked to satisfaction.</p><p><strong>Results: </strong>The satisfaction survey response rate was 47% (n = 947). On a 100-point scale, overall satisfaction with the agency's services and support, as measured by customer satisfaction index, was 70. Satisfaction driver scores ranged from 65 (application process) to 77 (training and technical assistance). Segmenting findings by subgroups yielded insight into sources of variation. Results of modeling suggested that recipient satisfaction might be best improved by prioritizing actions in 4 areas: partnership, flexibility, monitoring and reporting, and application process.</p><p><strong>Conclusions: </strong>CDC benefited from undertaking an intentional process to learn from its STLT-funded recipients. The structured approach used in this study has produced valuable data to examine recipients' experience and opportunities not just with individual CDC programs but across broader agency systems and practices.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"676-685"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mixed-Methods Analysis of the National Program of Cancer Registries Program Evaluation and Technical Assistance.","authors":"Sofia A Huster, Paran Pordell, Melissa Alvarado, Emily Nethercott","doi":"10.1097/PHH.0000000000002423","DOIUrl":"10.1097/PHH.0000000000002423","url":null,"abstract":"<p><strong>Context: </strong>The Centers for Disease Control and Prevention's (CDC) National Program of Cancer Registries (NPCR) supports the management and operations of central cancer registries (registries) across the United States through funding and technical assistance (TA).</p><p><strong>Objective: </strong>To examine barriers and facilitators to program evaluation among NPCR-funded cancer registries, assess registries' TA needs related to evaluation and implementation, and evaluate satisfaction with CDC-provided TA.</p><p><strong>Design and setting: </strong>We used a mixed-methods approach. Quantitative analysis examined 114 TA requests submitted between June 2022 and September 2023 through an administrative TA management platform. Qualitative data were collected during routine monthly check-in calls with 23 registries from October 2023 to January 2024, during which evaluators facilitated conversations on program evaluation experiences, TA needs, and satisfaction.</p><p><strong>Participants: </strong>TA requests submitted by 32 cancer registries and routine check-in calls with 23 registries, representing 38 unique registries across data sources.</p><p><strong>Main outcome measures: </strong>Cancer registry program evaluation barriers and facilitators, TA needs, and satisfaction with CDC-provided TA.</p><p><strong>Results: </strong>Most TA requests addressed operations and reporting (69.3%), followed by data submission (15.8%), evaluation and data management plans (8.8%), education and training (5.3%), and registry software/informatics (0.9%). Among resolved requests, more than 75% were addressed within 7 days. Qualitative findings indicated that registries were generally satisfied with TA timeliness and quality. Barriers to program evaluation included limited resources, insufficient training, and leadership transitions. Facilitators included adequate staffing and funding, evaluation competency, strong partnerships, and effective registry operations. Registries identified overlapping TA needs related to organizational support, targeted expertise, guidance and expectations, training, technical infrastructure, and peer learning.</p><p><strong>Conclusions: </strong>Program evaluation capacity within cancer registries is shaped by resources, training, partnerships, and operational context. Findings highlight opportunities for TA providers to strengthen evaluation through targeted training, clearer guidance, and peer learning to support consistent program implementation across multisite public health programs.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"32 5","pages":"E202-E210"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Health Indoor Air Surveillance for Respiratory Pathogens: From Pilot to Citywide Implementation.","authors":"Samantha Smith, Hannah Barbian, Rachel J Berkowitz, Sofiya Bobrovska, V Eloesa McSorley, Alyse Kittner","doi":"10.1097/PHH.0000000000002385","DOIUrl":"10.1097/PHH.0000000000002385","url":null,"abstract":"<p><strong>Context: </strong>Environmental surveillance has become an essential component of public health pathogen surveillance programs. Indoor air surveillance is a promising environmental surveillance method but has yet to be scaled citywide and incorporated into state and local public health programs.</p><p><strong>Program: </strong>The Chicago Department of Public Health established a citywide indoor air surveillance program to enhance monitoring of airborne pathogens and address gaps in existing surveillance.</p><p><strong>Implementation: </strong>The program began with a pilot phase from February to April 2023 at 5 sites, which informed expansion to 17 sites and 20 samplers across emergency departments (5), congregate (3), and community settings (15), across the city. Site staff conducted weekly cartridge exchanges for seven-day sample collection periods using AerosolSense and AirPrep Cub samplers, which were then processed at the Regional Innovative Public Health Laboratory for SARS-CoV-2, influenza, and respiratory syncytial virus. Samples were tested using quantitative polymerase chain reaction, and SARS-CoV-2-positive samples underwent whole genome sequencing to characterize circulating viral lineages.</p><p><strong>Evaluation: </strong>From February 2023 to August 2025, 1246 samples were processed, with a mean compliance of 85% (SD = 0.149) for weekly cartridge exchanges and minimal operational disruption. The program data supported its use as a surveillance tool for respiratory pathogen detection and SARS-CoV-2 lineage monitoring, with 74% samples positive for at least 1 virus and 68% detecting SARS-CoV-2.</p><p><strong>Discussion: </strong>The program successfully scaled to citywide coverage and was shown to be feasible and acceptable across sites. These results highlight the value of indoor air monitoring as a complementary surveillance tool and offer a framework for other jurisdictions seeking to enhance respiratory pathogen detection through establishing a citywide indoor air surveillance program. Facility-level sampling is aggregated across sites to capture citywide trends complementing clinical and wastewater surveillance, and provides insights into facility-level pathogen burden, not captured by other surveillance methods.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"666-675"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Local Health Department Capacity for Healthcare Infection Prevention and Control Through NACCHO's Project Firstline.","authors":"Jaclyn Abramson, Kimberly Nalley","doi":"10.1097/PHH.0000000000002409","DOIUrl":"10.1097/PHH.0000000000002409","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"827-829"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Levels of Maternal Care: Common Challenges and Promising Strategies.","authors":"Ramya Flores, Lexa Giragosian, Sanaa Akbarali","doi":"10.1097/PHH.0000000000002410","DOIUrl":"10.1097/PHH.0000000000002410","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"824-826"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging Rural Practitioners and Community Collaborators in Substance Use Disorder Needs Assessments: Recruitment Approaches Across 4 States.","authors":"Andrea C Villanti, Meghan L Farrington, Catherine E Peasley-Miklus, Nathaniel H Schafrick, Julia G Shaw, Marjorie C Meyer, Jeanne Ryer, Mary Lindsey Smith, Ya Tuo, Kelly R Peck, Sarah H Heil, Stacey C Sigmon, Valerie S Harder","doi":"10.1097/PHH.0000000000002381","DOIUrl":"10.1097/PHH.0000000000002381","url":null,"abstract":"<p><strong>Objective: </strong>The Northeastern United States experienced the highest rates of synthetic opioid overdose deaths in 2019, and in 2020, 3 of the 8 states with higher rural than urban drug overdose death rates were in the Northeast. To inform delivery of evidence-based substance use treatment in rural areas, we examined approaches to recruiting health care practitioners and community collaborators who work with people with opioid use disorder (OUD) in 4 northeastern states to complete needs assessment surveys. This article also outlines our methodological approaches to engaging rural health care practitioners and community collaborators.</p><p><strong>Design: </strong>We developed tailored approaches to identify eligible practitioners and community collaborators using existing lists, state partner outreach, participant referrals, and social media advertisements. Eligible participants received email invitations to complete a survey. We calculated cooperation and response rates and described differences in online survey response and practitioner characteristics by state.</p><p><strong>Setting: </strong>Vermont, New Hampshire, Maine, and Northern New York.</p><p><strong>Participants: </strong>Health care practitioners and community collaborators who worked with people with OUD.</p><p><strong>Results: </strong>From 2020 to 2023, 951 practitioners in 4 states and 388 community collaborators in 3 states completed needs assessments, with approximately 70% of respondents working in rural areas. States where we had access to long practitioner contact lists produced 50%-120% larger practitioner samples than those without existing lists. Response rates for all respondents ranged from 13% in Maine to 70% in New Hampshire, where participants completed eligibility screening before the survey.</p><p><strong>Conclusions: </strong>Our tailored approach to recruitment for each state allows for data collection across a range of practitioners and community collaborators engaged in OUD treatment, particularly rural practitioners often underrepresented in previous studies. These methods may serve as models for future efforts to engage rural substance use treatment practitioners and guide data collection through academic-community health partnerships in rural areas.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"748-757"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Overdose Prevention and Interpersonal Violence Services: An Opportunity for Public Health.","authors":"Agata Favilla, Alexandra B Collins, Bennett Allen","doi":"10.1097/PHH.0000000000002401","DOIUrl":"10.1097/PHH.0000000000002401","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"32 5","pages":"654-657"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhode Island's Centralized Rabies Control Program: Reducing Unnecessary Postexposure Prophylaxis and Associated Health Care Savings.","authors":"Catherine V Donovan, Alexia Goodman, Charles McGinnis, Daniela N Quilliam, Suzanne Bornschein, Utpala Bandy","doi":"10.1097/PHH.0000000000002388","DOIUrl":"10.1097/PHH.0000000000002388","url":null,"abstract":"<p><strong>Context: </strong>Rabies is a fatal viral disease transmitted through bites or scratches from infected mammals. After exposure, rabies can be prevented with timely administration of postexposure prophylaxis (PEP). Rabies PEP is expensive for patients and time consuming for both patients and providers. The Rhode Island Department of Health's (RIDOH) centralized rabies control program has sole authority for approving rabies PEP for humans bitten by animals in Rhode Island (RI).</p><p><strong>Objective: </strong>To investigate the impact of RIDOH's unique animal bites control program requiring animal bite reporting and health department approval for PEP release on PEP administration rates in Rhode Island and associated health care dollar savings.</p><p><strong>Design: </strong>Longitudinal analysis from 2013 to 2022.</p><p><strong>Setting: </strong>Rhode Island.</p><p><strong>Participants: </strong>Rhode Island Residents.</p><p><strong>Main outcome measures: </strong>Animal bite and PEP administration rates over time; number of people with animal bite exposures who did not receive PEP based on guidance from the RIDOH rabies control program; estimated health care dollar savings resulting from reduced PEP administration.</p><p><strong>Results: </strong>Animal bite rates increased by 43 bites per 100,000 people, whereas PEP rates decreased by 29/100,000. PEP was prevented in an estimated 1800-2300 individuals with animal bite exposures yearly, resulting in annual estimated health care savings of 5-16 million dollars.</p><p><strong>Conclusions: </strong>Rabies exposure assessment, risk communication, patient counseling, and animal testing provided by the rabies control program may have reduced PEP administration rates, despite increases in reported animal bite exposures, during 2013-2022. Reduced PEP usage affects health care systems across the state, saving health care dollars and reducing emergency department and clinic visits.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"788-796"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}