Stimulating Public Health Improvement in Complex and Constrained Delivery Systems

A series of studies examine how public health decision-makers are responding to accreditation, quality improvement, and public reporting initiatives amid the ongoing fiscal pressures.

Overall, the evidence to date, indicates that these initiatives represent promising strategies for strengthening evidence-based decision-making and expanding the delivery of evidence-tested programs and policies in local public health settings. Continued, comparative research and evaluation activities are needed to provide more definitive evidence about which combination of strategies work best, for which population groups, in which community and organizational settings, and why.

This series of studies was sponsored by the Robert Wood Johnson Foundation's Public Health Practice-Based Research Networks Program.