A Case Study Examination of Structure and Function in a State Health Department Chronic Disease Unit
A Case Study Examination of Structure and Function in a State Health Department Chronic Disease Unit
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DOI：
10.2105/ajph.2014.302354
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发表时间：
2015-04-01
影响因子：
12.7
通讯作者：
Alongi, Jeanne
中科院分区：
文献类型：
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作者：
Alongi, Jeanne
目标.我探讨了国家卫生部门的慢性病预防和控制单位的结构和业务实践，并提出了一个概念模型的结构，功能和有效性，为今后的研究。我的探索性案例研究考察了组织结构和实践的7个要素。我对一个慢性病单位的工作人员和外部利益相关者的采访产生了定量和定性的数据，我按视角、过程、关系和活动进行了编码。我分析了这些模式和新兴的主题。卡方分析显示，合作与目标模糊、政治支持和反应性之间存在显著相关，循证决策与目标模糊和反应性之间存在显著相关。虽然我的研究设计不允许因果关系的结论，我的研究结果表明，该模型的一些元素可能有助于慢性病单位的有效性，并应进一步研究。我的研究结果可能会对确定可以加强效力的能力建设的杠杆产生重要影响。
Objectives. I explored the structural and operational practices of the chronic disease prevention and control unit of a state health department and proposed a conceptual model of structure, function, and effectiveness for future study.Methods. My exploratory case study examined 7 elements of organizational structure and practice. My interviews with staff and external stakeholders of a single chronic disease unit yielded quantitative and qualitative data that I coded by perspective, process, relationship, and activity. I analyzed these for patterns and emerging themes.Results. Chi-square analysis revealed significant correlations among collaboration with goal ambiguity, political support, and responsiveness, and evidence-based decisions with goal ambiguity and responsiveness.Conclusions. Although my study design did not permit conclusions about causality, my findings suggested that some elements of the model might facilitate effectiveness for chronic disease units and should be studied further. My findings might have important implications for identifying levers around which capacity can be built that may strengthen effectiveness.