Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States.
Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States.
复制标题
美国慢性病公共卫生实践中错误实施的模式和相关因素。
DOI：
10.1186/s12889-020-10101-z
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发表时间：
2021-01-28
影响因子：
4.5
通讯作者：
Brownson RC
中科院分区：
文献类型：
--
作者：
Padek MM;Mazzucca S;Allen P;Rodriguez Weno E;Tsai E;Luke DA;Brownson RC
Much of the disease burden in the United States is preventable through application of existing knowledge. State-level public health practitioners are in ideal positions to affect programs and policies related to chronic disease, but the extent to which mis-implementation occurring with these programs is largely unknown. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. A 2018 comprehensive survey assessing the extent of mis-implementation and multi-level influences on mis-implementation was reported by state health departments (SHDs). Questions were developed from previous literature. Surveys were emailed to randomly selected SHD employees across the Unites States. Spearman’s correlation and multinomial logistic regression were used to assess factors in mis-implementation. Half (50.7%) of respondents were chronic disease program managers or unit directors. Forty nine percent reported that programs their SHD oversees sometimes, often or always continued ineffective programs. Over 50% also reported that their SHD sometimes or often ended effective programs. The data suggest the strongest correlates and predictors of mis-implementation were at the organizational level. For example, the number of organizational layers impeded decision-making was significant for both continuing ineffective programs (OR=4.70; 95% CI=2.20, 10.04) and ending effective programs (OR=3.23; 95% CI=1.61, 7.40). The data suggest that changing certain agency practices may help in minimizing the occurrence of mis-implementation. Further research should focus on adding context to these issues and helping agencies engage in appropriate decision-making. Greater attention to mis-implementation should lead to greater use of effective interventions and more efficient expenditure of resources, ultimately to improve health outcomes. The online version contains supplementary material available at 10.1186/s12889-020-10101-z.
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影响因子：
5.5
作者：
Gibbert WS;Keating SM;Jacobs JA;Dodson E;Baker E;Diem G;Giles W;Gillespie KN;Grabauskas V;Shatchkute A;Brownson RC
通讯作者：
Brownson RC
DOI：
10.1097/01.phh.0000311891.73078.50
发表时间：
2008-03-01
影响因子：
3.3
作者：
Dreisinger, Mariah;Leet, Terry L.;Brownson, Ross C.
通讯作者：
Brownson, Ross C.
DOI：
10.1097/phh.0b013e3182a5c2f8
发表时间：
2014-07-01
影响因子：
3.3
作者：
Harris, April L.;Scutchfield, F. Douglas;Ingram, Richard C.
通讯作者：
Ingram, Richard C.
影响因子：
17.1
作者：
Colditz GA;Wolin KY;Gehlert S
通讯作者：
Gehlert S
DOI：
10.1186/1748-5908-8-141
发表时间：
2013-12-13
期刊：
Implementation science : IS
影响因子：
--
作者：
Allen P;Sequeira S;Jacob RR;Hino AA;Stamatakis KA;Harris JK;Elliott L;Kerner JF;Jones E;Dobbins M;Baker EA;Brownson RC
通讯作者：
Brownson RC