What Predicts Local Public Health Agency Performance Improvement?
In North Carolina, the experience level of the local public health workforce was a predictor of teen pregnancy rates from 1999–2004. A study of local health agencies revealed workforce characteristics that determined the presence of critical services.
Local public health agencies (LPHAs) are pivotal sites within the health care system. Their organization and function reflects the broader philosophy and purpose of public health. Improving the performance of LPHAs requires an understanding of how resources within a given LPHA impact the agency's performance.
This study used multiple levels of statistical analysis to identify organizational characteristics that predicted LPHA performance improvement. Analysts compiled a set of indicators, common LPHA services that served as measures of performance. Bivariate and multivariate analyses merged indicator and predictor datasets. This report's "methods" section gives background for each data source.
- Higher expenditures alone will not, as a matter of course, bring about improvements in LPHA performance.
- The number of full-time employees was significant in predicting family planning caseloads. More nonhealth professionals correlated with improvements in family planning services.
In a study of LPHAs in North Carolina during the years 1999–2004 specific workforce characteristics including age, education level, and experience predicted improvements in LPHA performance.
- 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. A Shot in the Rear, Not a Shot in the Dark
- 17. What Predicts Local Public Health Agency Performance Improvement?
- 18. Growth of a Scientific Community of Practice
- 19. Evolution of Coauthorship in Public Health Services and Systems Research
- 20. Resources that May Matter
- 21. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
- 22. Public Health Financial Management Competencies
- 23. Decision Science
- 24. Public Health Financial Management Needs
- 25. Data-Driven Management Strategies in Public Health Collaboratives
- 26. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
- 27. Public Health Systems and Services Research
- 28. Mapping the Multidisciplinary Field of Public Health Services and Systems Research