Journal of Public Health Management and Practice最新文献

{"title":"Examining the Association Between Public Health Accreditation and COVID-19 Outcomes.","authors":"Mary V Davis, Nikki Rider, Ammar A Rashied, Shankar Bhat, Britt Lang","doi":"10.1097/PHH.0000000000002100","DOIUrl":"10.1097/PHH.0000000000002100","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between local health department (LHD) accreditation and COVID-19 community outcomes, including rates of adult vaccination, hospitalization, and death.</p><p><strong>Design: </strong>We examined county level rates of adult vaccination, hospitalization, and death by LHD accreditation status over the course of the COVID pandemic. Additional independent variables included time period, COVID-19 Community Vulnerability Index (CCVI), state public health governance structure, and state policy environment. We used hierarchal linear mixed modeling with random intercept for county level data to account for repeated observations and fixed effects for all other variables.</p><p><strong>Setting: </strong>This study examined all communities in the United States of America.</p><p><strong>Participants: </strong>LHDs and the communities they serve.</p><p><strong>Main outcome measures: </strong>Rates of adult vaccination, hospitalization, and death due to COVID-19.</p><p><strong>Results: </strong>Among accredited LHDs, the adult population was more likely to be fully vaccinated when compared to unaccredited LHDs ( P < .01). Additional variables in the model, which were also significant, included time period, CCVI, state policy environment, and state public health governance structure. There were no significant differences in the hospitalization rates in jurisdictions with an accredited LHD compared to jurisdictions where the LHD is not accredited. Death rates in jurisdictions with an accredited LHD were statistically significantly lower than death rates in jurisdictions where the health department was not accredited ( P < .001). This relationship was significant with other key variables in the model, including time, CCVI, state policy environment, and state public health governance structure.</p><p><strong>Conclusions: </strong>This study demonstrates that there is an association between LHD accreditation and community health outcomes. Furthermore, we found that other factors, such as social determinants of health, state policy environment, and state public health governance structure impact community health outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"157-164"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923714","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":"Public Health Accreditation Board Accreditation and Pathways Recognition Among Small Health Departments: Motivation, Communication, and Celebration.","authors":"Matthew Fifolt, Peg Allen, Andrew N Crenshaw, Paul C Erwin, Britt Lang, Amy Belflower Thomas, Ross C Brownson","doi":"10.1097/PHH.0000000000002085","DOIUrl":"10.1097/PHH.0000000000002085","url":null,"abstract":"<p><p>This paper explores how small local health departments (LHDs) motivated staff members, communicated progress toward Public Health Accreditation Board accreditation or Pathways Recognition, and celebrated interim and final accreditation accomplishments. Qualitative key informant interviews were conducted with 22 employees and affiliates of 4 LHDs with jurisdiction populations <50 000. LHDs motivated staff through ownership, creative strategies to monitor and record progress, and meaningful no- or low-cost incentives. Participants communicated accreditation progress internally and externally through in-person and electronic communication. Individuals described small rituals and large, community-wide celebrations to express collective investment in and ownership of the accreditation process. Strategies to motivate staff were top-down and bottom-up, and accreditation status updates were communicated through multiple channels. Participants viewed celebrations as valuable aspects of the accreditation process. Reaccreditation participants deemed Public Health Accreditation Board accreditation worthy of celebration and an accomplishment to share with the community.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"190-195"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985181","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":"Building the Foundation for a High-Performing Public Health System.","authors":"Erika G Martin","doi":"10.1097/PHH.0000000000002111","DOIUrl":"10.1097/PHH.0000000000002111","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"153-154"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822776","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":"Protective Behaviors Following Digital COVID-19 Exposure Notifications, Washington State, September 1, 2021, to March 1, 2022.","authors":"Nicole L Briggs, Brandon L Guthrie, Adam S Elder, Debra Revere, Andrea R Molino, Laura M West, Amanda Higgins, Bryant T Karras, Janet G Baseman","doi":"10.1097/PHH.0000000000002009","DOIUrl":"10.1097/PHH.0000000000002009","url":null,"abstract":"<p><strong>Context: </strong>Digital exposure notification (EN) systems were widely used to supplement public health case investigations and contact tracing during the 2019 coronavirus disease (COVID-19) pandemic. In Washington State, the state Department of Health (DOH) implemented one such system, WA Notify, which generated ENs based on smartphone Bluetooth proximity detection. However, the privacy preserving measures of this technology prevented collection of information on how users responded after seeing an EN on their device.</p><p><strong>Objective: </strong>To understand the influence of ENs on intended and implemented protective behaviors among WA Notify users.</p><p><strong>Design: </strong>Two self-report surveys were administered by the WA DOH: a baseline survey regarding planned protective behaviors, available immediately after seeing an EN, and a follow-up survey distributed 2 weeks later regarding actual protective behaviors implemented. Self-reported planned and implemented protective behaviors were compared across 3 time periods relevant to the COVID-19 pandemic. Poisson regression was used to compare the probability of engaging in various protective behaviors across demographic characteristics and other contextual factors.</p><p><strong>Setting: </strong>Washington State.</p><p><strong>Participants: </strong>A total of 4280 individuals who chose to respond to both surveys and who completed the initial survey between September 1, 2021, and March 1, 2022.</p><p><strong>Main outcome measures: </strong>Self-reported plans for and engagement in protective behaviors (quarantining, testing, and symptom watching).</p><p><strong>Results: </strong>The proportion of individuals who reported implementing quarantining and symptom watching after seeing an EN was higher than the proportion that reported planning to engage in each respective behavior. Respondents who reported experiencing symptoms when seeing an EN were more likely to quarantine and test for COVID-19 compared to those with no symptoms.</p><p><strong>Conclusion: </strong>Plans to engage in protective behaviors after initially seeing an EN can change and may be influenced by evolving personal and contextual factors. Future digital EN systems can be improved through messaging tailored to encourage protective behaviors relevant to disease prevention.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"217-226"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822777","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":"Prescriptions (Rx) for Prevention: Clinical Tools for Integrating Environmental Health into Pediatric Clinical Care.","authors":"Christopher Bland, Lauren Zajac, Joseph Wilson, Luz Guel, Sofía Curdumí Pendley, Annemarie Charlesworth, Katrina Korfmacher, Nicholas Newman, Marilyn Howarth, Sophie J Balk, Maida Galvez, Perry Sheffield","doi":"10.1097/PHH.0000000000002044","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002044","url":null,"abstract":"<p><p>The integration of environmental health (EH) into routine clinical care for children is in its early stages. The vision of pediatric EH is that all clinicians caring for children are aware of and able to help connect families to needed resources to reduce harmful environmental exposures and increase health-enhancing ones. Environmental exposures include air pollution, substandard housing, lead, mercury, pesticides, consumer products chemicals, drinking water contaminants, industrial facility emissions and, increasingly, climate change-related extreme weather and heat events. An identified need is to simultaneously educate clinicians while connecting families to evidence-based EH interventions. Here, we describe a multi-decadal effort to create, refine, and disseminate a clinical tool called Prescriptions (Rxs) for Prevention that responds to that identified need. These tools are modeled on a risk communication framework and use a format that support clinicians when they screen their patients for EH concerns, to then counsel on those topics, and refer to EH resources if needed. Rxs for Prevention-tailored with local resources-are now in use at more than a dozen sites in multiple regions of the U.S. supporting the promotion of healthy homes, communities, and the broader environment for children. These Rxs are reducing barriers to EH integration by educating clinicians, linking families to community resources, and strengthening clinic and community connections. On-going evaluation can help further the implementation of the Rxs for Prevention to help achieve the long-term vision of integrating EH into routine clinical care.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 2","pages":"244-251"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025318","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":"The NACCHO Profile Study Dashboard: Empowering Local Public Health With Data-Driven Insights.","authors":"Kellie Perkins, Gwen Davis","doi":"10.1097/PHH.0000000000002117","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002117","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 2","pages":"334-336"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025320","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":"Centers for Disease Control and Prevention's Public Health Infrastructure Grant: A Better Approach to Empowering More State and Local Decision Making and Strengthening the Public Health Workforce and Infrastructure.","authors":"Marion W Carter, Patricia M Simone, Debra E Houry, Steven L Reynolds, Sara S Patterson, Jonathan E Carlson, Leslie A Dauphin","doi":"10.1097/PHH.0000000000002055","DOIUrl":"10.1097/PHH.0000000000002055","url":null,"abstract":"<p><strong>Context: </strong>In response to the COVID-19 pandemic, Congress passed the American Rescue Plan Act of 2021 (ARPA) that included a historic investment in the public health workforce.</p><p><strong>Program: </strong>Charged with implementing this investment, the U.S. Centers for Disease Control and Prevention (CDC) launched the Public Health Infrastructure Grant (PHIG). PHIG builds on CDC's experience working with state, local, and territorial public health departments and represents a new approach to strengthening the public health workforce.</p><p><strong>Implementation: </strong>Specifically, PHIG incorporates features that allow these public health departments to prioritize and tailor the funding to meet their communities' needs: 1) focus on workforce as core infrastructure, 2) streamlined programmatic and administrative requirements, 3) more equitable funding approach, and 4) enhanced support from national partners and CDC.</p><p><strong>Discussion: </strong>The goal is to optimize the unprecedented opportunity afforded by ARPA and lead to a stronger public health workforce and infrastructure across the United States.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E88-E97"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141440","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 Agency Approaches to Improving Access to Care.","authors":"Caroline Brazeel, Rachel Scheckman, Anna Bartels, Alexandra Kearly","doi":"10.1097/PHH.0000000000002101","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002101","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 2","pages":"328-333"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025319","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":"Perceptions of Criticality and Frequency of Tasks by the Public Health Workforce, 2022.","authors":"Richard S Kurz, Allison Foster, L Michael Bowen, Kaye Bender","doi":"10.1097/PHH.0000000000002068","DOIUrl":"10.1097/PHH.0000000000002068","url":null,"abstract":"<p><strong>Introduction: </strong>Since the occurrence of the COVID-19 pandemic, there has been significant interest in the public health workforce and its development. Substantial emphasis has been placed on the competencies needed for the development of the workforce. As important as this work on competencies is to a competent public health workforce, the certification of public health professionals and the maintenance of their skills and knowledge is of equal importance. The National Board of Public Health Examiners (NBPHE), along with other organizations, plays a key role in this process. Based on the National Board of Public Health Examiner's 2022 JTA, this study investigates the specific tasks that are performed by the public health workforce in each of 10 domains, their criticality and frequency, and the relationship of their criticality to their frequency.</p><p><strong>Methods: </strong>Using data from the National Board of Public Health Examiners (NBPHE) job task analysis (JTA), the criticality and frequency of tasks and their relationship were investigated through tabular analysis.</p><p><strong>Results: </strong>Ten tasks were identified as the most critical, focused on the domains of communication, leadership, resource and program management, and law and ethics. The 10 most frequent tasks were the same as the most critical tasks in 8 instances. When the criticality of all tasks was related to their frequency, 12 tasks were found to have high criticality and high frequency, 17 tasks had low criticality and low frequency, and 74 tasks had high criticality and low frequency. In our data, no low criticality tasks were performed frequently.</p><p><strong>Discussion: </strong>Results are discussed for their relevance to education in public health and practitioner development. A key takeaway is that workforce tasks and competencies appear to provide two different and important ways to analyze workforce activity in future research.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E126-E133"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689187","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":"Partnering for Vaccine Equity: A Public Health-Community Action Model to Advance Delivery of Essential Health Services.","authors":"Geetika Nadkarni, Shalini Nair, Lillie Seels","doi":"10.1097/PHH.0000000000002060","DOIUrl":"10.1097/PHH.0000000000002060","url":null,"abstract":"<p><p>As part of CDC's Partnering for Vaccine Equity Program, the Association of State and Territorial Health Officials worked with the National Community Action Partnership and five community action agencies (CAAs) to address disparities in adult immunization among racial and ethnic minority populations. CAAs leveraged partnerships with public health, healthcare, and other local entities to increase uptake of COVID-19 and other vaccines, while simultaneously addressing related social determinants of health. With over 1000 agencies across the United States, including state associations, CAAs are accessible partners to nearly all state and local health departments. Collaboration between public health and community action is a promising model that can be used to cultivate trust, build and support resiliency, and address systemic disparities to advance health equity within communities.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"313-316"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337049","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}