Should they stay or should they go? Leader duration and financial performance in local health departments.
Should they stay or should they go? Leader duration and financial performance in local health departments.
复制标题
他们应该留下还是应该走？
DOI：
10.1097/phh.0000000000000119
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Fardo,David
中科院分区：
文献类型：
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作者：
Jadhav,EmmanuelD;HolsingerJr,JamesW;Mays,Glen;Fardo,David
研究目的：探讨短期、平均和长期任职LHD领导人对LHD财务绩效的影响。研究设计：采用纵向队列设计和正偏差方法，研究领导者特征的变化和支出的百分比变化。对LHD财务绩效与领导者特征进行了双变量分析，并建立了逻辑回归模型来检验领导者任期与LHD支出百分比正变化之间的关系。参与者：从总共2523名lhd中，检查了1453名。全国县和市卫生官员协会在2008年和2010年对美国公共卫生机构进行的横断面调查包含了领导者和LHD变量。结果：大约44%的lhd经历了积极的支出百分比变化。使用卡方独立性检验，领导任期、年龄、性别和教育程度与正百分比支出变化显著相关。通过logistic回归分析，任期、教育状况、就业状况、地区人口、治理、分类和管辖权具有统计学意义。任职时间少于2年的地方卫生部门比平均任期的地方卫生部门更不可能出现正百分比的支出变化。结论：任期的优势比表明，任期在达到阈值水平后呈正相关，然后下降。这意味着LHD的财务绩效对领导任期很敏感。
Research Objective:Examine association between financial performance of LHDs with short-, average-, and long-tenured LHD leaders.Study Design:Variation in leader characteristics and percent change in expenditure were examined using a longitudinal cohort design and positive deviance methodology. Bivariate analysis of LHD financial performance and leader characteristics was conducted, and a logistic regression model was developed to test association between leader tenure and LHDs that experienced a positive percentage expenditure change.Participants:From a total of 2523 LHDs, 1453 were examined. The cross-sectional surveys of US public health agencies conducted by the National Association of County and City Health Officials in 2008 and 2010 contain the leader and LHD variables.Results:Approximately 44% of LHDs experienced a positive percentage expenditure change. Leader tenure, age, gender, and education status were significantly associated with a positive percentage expenditure change using a chi-square test of independence. From the logistic regression analysis tenure, educational status, employment status, area population, governance, classification, and jurisdiction were statistically significant. Local health departments with leaders whose tenure was less than 2 years were less likely than those with average tenure to experience a positive percentage expenditure change.Conclusions:The odds ratios for tenure suggest that tenure is positively associated up to a threshold level and then declines. Implying that LHD financial performance is sensitive to leader tenure.