Assessing Local Public Health Agency Alignment With Public Health 3.0: A Content Analysis of Illinois Community Health Improvement Plans.
Assessing Local Public Health Agency Alignment With Public Health 3.0: A Content Analysis of Illinois Community Health Improvement Plans.
复制标题
DOI：
10.1097/phh.0000000000001442
复制
发表时间：
2022-05-01
期刊：
影响因子：
--
通讯作者：
Ezike NO
中科院分区：
文献类型：
--
作者：
Welter CR;Herrera Y;Uskali AL;Seweryn S;Call L;Lasky S;Agbodo N;Ezike NO
公共卫生3.0描述了公共卫生机构和公共卫生工作人员需要通过跨部门伙伴关系和集体行动，转变和获得新的技能和方法，以解决健康的社会决定因素（SDOH）。通过社区健康改善计划（CHIP）中记录的干预措施和举措，评估当地卫生部门公共卫生3.0的现状。我们对2020年7月至11月的伊利诺伊州社区健康改善计划（CHIP）进行了内容分析。一个编码框架与公共卫生3.0的概念一致的基础上，从文献，教师的专业知识和初步审查的CHIP的结构。两名研究人员在Microsoft Excel 2016中对健康优先事项和干预措施进行了演绎编码，并计算了每个代码出现的CHIP数量。对代表全州98个县的90个CHIP进行了分析;由于缺乏战略，2个CHIP被排除在外。我们的内容分析发现，13%（n=12）的CHIP明确了与SDOH相关的优先事项，12%（n=11）包括解决社会经济因素的干预措施。10%（n=9）的CHIP提出了多层次、多成分的干预措施。89%（n=80）的CHIP包括社区一级的干预措施和53%（n=48）的CHIP包括政策，系统和环境（PSE）战略侧重于特定的健康内容。大多数CHIP（96%，n=86）至少有一个伙伴关系战略。32%（n=29）的CHIP提到使用循证策略。我们的内容分析发现了提高伊利诺伊州公共卫生机构的公共卫生3.0能力和能力的机会。调查结果仅限于此数据源和公共卫生3.0属性的定义，为实践和研究机会留出空间，以制定公共卫生3.0的业务定义;提高公共卫生工作人员准备的能力建设;以及衡量改进的研究和评估。
Public Health 3.0 described the need for public health agencies and the public health workforce to transform and obtain new skills and approaches to address the social determinants of health (SDOH) through cross-sectoral partnerships and collective action. To assess the current state of local health departments’ Public Health 3.0 alignment through interventions and initiatives documented in community health improvement plans (CHIPs). We conducted a content analysis of Illinois Community Health Improvement Plans (CHIPs) from July to November 2020. A coding framework aligned with Public Health 3.0 concepts was developed based on constructs from the literature, faculty expertise, and preliminary reviews of the CHIPs. Two researchers deductively coded for health priorities and interventions in Microsoft Excel 2016 and calculated the number of CHIPs in which each code appeared. Ninety CHIPs representing 98 counties across the state were analyzed; 2 CHIPs were excluded due to a lack of strategies. Our content analysis found that 13% (n=12) of CHIPs had explicit priorities related to SDOH and 12% (n=11) included interventions that addressed socioeconomic factors. Ten percent (n=9) of CHIPs proposed multi-level multi-component interventions. Eighty-nine percent (n=80) of CHIPs included community-level interventions and 53% (n=48) of CHIPs included policy, systems, and environmental (PSE) strategies focused on specific health content. The majority of CHIPs (96%, n=86) had at least 1 partnership strategy. Thirty-two percent (n=29) of CHIPs mentioned the use of an evidence-based strategy. Our content analysis found opportunities to improve Illinois public health agencies’ Public Health 3.0 capacities and capability. Findings are limited to this data source and definitions of the Public Health 3.0 attributes, leaving room for practice and research opportunities to develop operational definitions of Public Health 3.0; capacity building to improve the public health workforce readiness; and research and evaluation to measure improvements.