Structure and functions of state public health agencies.
Structure and functions of state public health agencies.
复制标题
国家公共卫生机构的结构和职能。
DOI：
10.2105/ajph.2004.053439
复制
发表时间：
2006
影响因子：
12.7
通讯作者：
N. Menachemi
中科院分区：
文献类型：
--
作者：
L. Beitsch;R. Brooks;M. Grigg;N. Menachemi
目标
我们评估了美国各州卫生部门的结构和职能，并将我们的调查结果与1990年进行的一次全国性评估进行了比较。
方法
2001年，我们向所有50个州的州卫生官员发送了一份调查。调查询问了国家卫生机构的结构和职能。
结果
该调查由来自47个州的州卫生官员完成（94%的回复率）。超过一半的州有独立的州公共卫生机构和州卫生委员会或理事会。44%有区域或地区结构。虽然一些传统的公共卫生职能已被削减，但自1990年以来出现了重要的新的公共卫生职能。
结论
我们目前的研究结果证实了过去十年来国家公共卫生系统结构和功能的核心变化，并强调需要对这些系统进行更多的研究，以最大限度地提高其组织绩效。
OBJECTIVES
We assessed the structure and functions of state health departments throughout the United States and compared our findings with those from a previous national assessment conducted in 1990.
METHODS
In 2001, we sent a survey to the state health officers of all 50 states. The survey asked about the structure and functions of the state health agency.
RESULTS
The survey was completed by state health officers from 47 states (a 94% response rate). More than half of the states responding had a freestanding state public health agency and a state board or council of health. Forty-four percent had a regional or district structure. Although some traditional public health functions have been curtailed, important new public health functions have emerged since 1990.
CONCLUSIONS
Our current findings confirm core changes in the structure and functions of state public health systems over the past decade and emphasize the need for more research into these systems to maximize their organizational performance.