Laying the Groundwork for Evidence-Based Public Health: Why Some Local Health Departments Use More Evidence-Based Decision-Making Practices Than Others
Laying the Groundwork for Evidence-Based Public Health: Why Some Local Health Departments Use More Evidence-Based Decision-Making Practices Than Others
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DOI：
10.2105/ajph.2014.302306
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发表时间：
2015-04-01
影响因子：
12.7
通讯作者：
Smith, Mark
中科院分区：
文献类型：
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作者：
Lovelace, Kay A.;Aronson, Robert E.;Smith, Mark
我们研究了美国地方卫生部门（LHD）使用循证决策（EBDM）实践的变化，以及资源、人员和治理预测这种变化的程度。我们分析了来自全国县市卫生官员协会地方卫生部门概况、州和地区卫生官员协会州卫生部门概况和美国人口普查的数据，使用2级多水平回归模型。我们发现更多的劳动力预测比资源预测。因此，尽管资源与LHD使用EBDM实践有关，但资源使用的方式（例如，聘用人员的类别和资格）可能更为重要。
We examined variation in the use of evidence-based decision-making (EBDM) practices across local health departments (LHDs) in the United States and the extent to which this variation was predicted by resources, personnel, and governance. We analyzed data from the National Association of County and City Health Officials Profile of Local Health Departments, the Association of State and Territorial Health Officials State Health Departments Profile, and the US Census using 2-level multilevel regression models. We found more workforce predictors than resource predictors. Thus, although resources are related to LHDs' use of EBDM practices, the way resources are used (e.g., the types and qualifications of personnel hired) may be more important.