In the most diverse communities, local health departments screen for communicable diseases and chronic conditions.
The expansion of minority populations is changing the public health landscape in America. Local health departments (LHDs) are the best places for poor minorities and immigrants to obtain essential health services. This study gives policy-makers and program managers a better idea of how LHDs are serving culturally diverse populations.
This study created demographic profiles for over 2,000 LHDs. The authors assigned a diversity “score” to each LHD jurisdiction. Four hundred LHDs serving the most diverse areas received survey questionnaires asking about their respective approaches to caring for minority populations. The questions addressed administrative systems, use of foreign language interpreters, and workforce training.
- Most local health departments use information about diversity to identify their patients’ needs and plan programs.
- More than 70 percent of LHDs reported inadequate funding for programs that care for diverse populations.
- Among minorities served by LHDs, 63 percent live in poverty.
LHDs increasingly serve communities like Palisades Park, New Jersey, where 19 languages are spoken. Despite financial constraints, LHDs have developed a number of approaches to caring for diverse populations; grants targeting prevention activities and health disparities will aid their efforts.
- 1. The Ongoing Quality Improvement Journey
- 2. A Road Map for Improving the Performance of Performance Measures
- 3. The Trade-Off Among Quality, Quantity, and Cost
- 4. Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
- 5. Preventing Bloodstream Infections
- 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
- 7. Measuring Health Care Performance Now, Not Tomorrow
- 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
- 9. The Importance of Transitional Care in Achieving Health Reform
- 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
- 11. A Comparative Study of 11 Local Health Department Organizational Networks
- 12. Public Health Performance
- 13. A Self-Assessment Process for Accreditation Preparedness
- 14. Public Health Delivery Systems
- 15. Regionalization in Local Public Health Systems
- 16. Public Health Services and Systems Research
- 17. A Shot in the Rear, Not a Shot in the Dark
- 18. What Predicts Local Public Health Agency Performance Improvement?
- 19. Growth of a Scientific Community of Practice
- 20. Evolution of Coauthorship in Public Health Services and Systems Research
- 21. Resources that May Matter
- 22. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
- 23. Public Health Financial Management Competencies
- 24. Decision Science
- 25. Public Health Financial Management Needs
- 26. Data-Driven Management Strategies in Public Health Collaboratives
- 27. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
- 28. Public Health Systems and Services Research
- 29. Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
- 30. A Needs Assessment for Data and Methods in Public Health Systems Research
- 31. Mapping the Multidisciplinary Field of Public Health Services and Systems Research