The key role of nurses in local health departments.

Suen, Jane; Christenson, Gregory M.; Nicola, Ray M.

doi:10.2105/ajph.85.1.120-b

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…2 Studies have most often described associations of performance with LHD size, jurisdictional size, and funding: LHDs with larger staffs, serving populations greater than 50 000 persons, and with higher funding per capita were more often higher performing. [3][4][5][6][7][8][9][10][11][12][13][14] Higher performing LHDs also had greater community interaction, a director with higher academic degrees, and leadership functioning within a management team. 5,9,11,15 Only 4 published studies have attempted to link LHD characteristics, activities, or performance to health outcomes.…”

Section: The Association Of Changes In Local Health Department Resourmentioning

confidence: 99%

The Association of Changes in Local Health Department Resources With Changes in State-Level Health Outcomes

Erwin

Greene²,

Mays³

et al. 2011

Am J Public Health

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We explored the association between changes in local health department (LHD) resource levels with changes in health outcomes via a retrospective cohort study. We measured changes in expenditures and staffing reported by LHDs on the 1997 and 2005 National Association of County and City Health Officials surveys and assessed changes in state-level health outcomes with the America's Health Rankings reports for those years. We used pairwise correlation and multivariate regression to analyze the association of changes in LHD resources with changes in health outcomes. Increases in LHD expenditures were significantly associated with decreases in infectious disease morbidity at the state level (P = .037), and increases in staffing were significantly associated with decreases in cardiovascular disease mortality (P = .014), controlling for other factors.

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