Health departments' implementation of public health's core functions: an assessment of health impacts
Health departments' implementation of public health's core functions: an assessment of health impacts
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DOI：
10.1016/j.puhe.2004.03.002
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发表时间：
2005-01-01
期刊：
影响因子：
5.2
通讯作者：
Ginter, PM
中科院分区：
文献类型：
--
作者：
Ford, EW;Duncan, WJ;Ginter, PM
目标.这篇文章的目的是调查州卫生机构对美国医学研究所（IOM）报告《公共卫生的未来》中建议的遵守情况与其人口健康变化之间的关系。数据取自各机构跨越五年的计划、预算、年度报告等。同期人口健康指标的全面变化来自联合健康集团的年度调查。基于公共卫生核心职能，运用线性回归和定性比较分析方法，建立了公共卫生服务质量评价指标体系。因变量是一个国家人口的健康状况的变化的整体措施。最完全地采用强调评估、保证和政策制定的公共卫生模式的国家机构在其人口健康措施方面也有了显著的改善。更全面地采用移徙组织公共卫生核心职能的国家机构，其人口的健康状况也随之改善。有必要进一步研究，以探讨采用核心功能和积极的健康影响之间是否存在因果关系。(C)2004年，皇家公共卫生研究所。由爱思唯尔有限公司出版。保留所有权利。
Objectives. The purpose of this article was to investigate the relationship between state health agencies' adherence to the recommendations of the United State's Institute of Medicine's (IOM) report, 'The Future of Public Health', and changes in their populations' health.Study design. Data were abstracted from agencies' plans, budgets, annual reports, etc. spanning a 5-year period. A comprehensive change in population health measure over the same period was drawn from the UnitedHealth Group's annual survey.Methods. Configurations, based on public health core functions, were established using linear regression and qualitative comparative analysis. The dependent variable was a holistic measure of change in a state population's health status.Results. State agencies that most completely adopted a public health model emphasizing assessment, assurance and policy development also experienced significant improvements in their population health measures.Conclusions. State agencies that more completely adopted the IOM's public health core functions had a concomitant improvement in their populations' health statuses. Further research to explore if there is a causal link between adoption of the core functions and positive health impacts is warranted. (C) 2004 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.