The Role of Interorganizational Partnerships in Health Services Provision Among Rural, Suburban, and Urban Local Health Departments

Beatty, Kate E.; Harris, Jenine K.; Barnes, Priscilla

doi:10.1111/j.1748-0361.2010.00285.x

Cited by 44 publications

(46 citation statements)

References 37 publications

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“…LHDs in New Jersey serving larger populations had higher performance scores for assessment, which includes essential services 1 and 2, but not for the other two core functions, which include essential services 3 through 10 (40). significantly less likely to report using evidence-based decision making (79) or administrative evidence-based practices (24), report using fewer strategies to combat health disparities (144), and report providing fewer types of services (9,37). Among the service types performed less frequently in small/rural jurisdictions compared with larger/urban jurisdictions were early and periodic screening, diagnostic, and treatment services for infants and children (48), other maternal and child health functions (85), access to medical care (81), access to dental care (81), and behavioral health services (81).…”

Section: Health Service Provisionmentioning

confidence: 99%

“…In addition to internal capacity (human, financial, and informational resources), external factors including partnerships (117) and population characteristics (31) play a vital role in LHD performance. Partnerships may be especially important for rural/small LHDs to make up for capacity limitations (9,19,132). Although LHDs tend to partner with other LHDs that are the same size and in the same state (52), LHD partnerships with other types of organizations vary by size and rurality (5,6,9).…”

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

“…Partnerships may be especially important for rural/small LHDs to make up for capacity limitations (9,19,132). Although LHDs tend to partner with other LHDs that are the same size and in the same state (52), LHD partnerships with other types of organizations vary by size and rurality (5,6,9). Small LHDs partner with fewer types of organizations overall (9) and are less likely to partner with faith-based organizations (6).…”

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

“…Although LHDs tend to partner with other LHDs that are the same size and in the same state (52), LHD partnerships with other types of organizations vary by size and rurality (5,6,9). Small LHDs partner with fewer types of organizations overall (9) and are less likely to partner with faith-based organizations (6). Larger/urban jurisdictions have access to more local partners and partner types, whereas small/rural jurisdictions are limited and may partner with the same local organizations for multiple purposes (5,73).…”

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

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The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

Self Cite

124

104

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Residents of rural jurisdictions face significant health challenges, including some of the highest rates of risky health behaviors and worst health outcomes of any group in the country. Rural communities are served by smaller local health departments (LHDs) that are more understaffed and underfunded than their suburban and urban peers. As a result of history and current need, rural LHDs are more likely than their urban peers to be providers of direct health services, leading to relatively lower levels of population-focused activities. This review examines the double disparity faced by rural LHDs and their constituents: pervasively poorer health behaviors and outcomes and a historical lack of investment by local, state, and federal public health entities.

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Section: Health Service Provisionmentioning

confidence: 99%

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

See 2 more Smart Citations

The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

Self Cite

124

104

View full text Add to dashboard Cite

show abstract

“…Los resultados presentados muestran que uno de cada veinte médicos que realizaron el SERUMS contaba con una adecuada cobertura del Seguro Social de Salud; considerando que en nuestro país los profesionales recién egresados conforman uno de los pilares de la APS (4,5) su salud e integridad física debe ser una prioridad de las instituciones prestadoras de salud (14)(15)(16)(17) .…”

Section: Discussionunclassified

Deficiente cobertura de aseguramiento a médicos durante el servicio rural y urbano-marginal en Perú

Mejía

Quiñones-Laveriano

Espinoza

et al. 2014

Rev Peru Med Exp Salud Publica

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RESUMENCon el objetivo de determinar la cobertura del aseguramiento en salud que recibieron los médicos recién graduados de universidades de Lima, que realizaron el Servicio Rural y Urbano Marginal en Salud (SERUMS) durante el periodo 2012 -2013, realizamos un seguimiento mensual de los datos de afiliación al Seguro Social de Salud (Essalud). De un total de 290 médicos el 6,6% (19) tenía activado su seguro al fin de los tres primeros meses, incrementándose al 72% (209) el último mes, el 26,2% no tuvieron afiliación en ninguno de los meses. Se encontraron diferencias en la cobertura de aseguramiento según entidad que regula la sede (p<0,01), el sexo del médico (p=0,03) y la clasificación de pobreza de la sede (p=0,02). Se concluye que existe una deficiente cobertura de aseguramiento hacia los profesionales que realizan atención primaria de la salud en zonas alejadas del país, lo cual es un problema que debe ser vigilado. Palabras clave: Seguridad social; Recursos humanos; Trabajadores rurales; Atención primaria de salud (fuente:DeCS BIREME) POOR COVERAGE INSURANCE IN MEDICAL GRADUATES FOR THE SERVICE RURAL AND URBAN-MARGINAL IN PERÚ ABSTRACTThe aim of this study was to describe the concentration of lead in umbilical cord blood (UCB) of neonates born from primiparous women who live in northern Lima. A cross sectional study was carried out at Cayetano Heredia National Hospital, from July 2011 to January 2012. 100 neonates born from primiparous women who lived in northern Lima in the previous 5 years or more were included. Umbilical cord lead levels were measured by the atomic adsorption method, and the demographic information and risk factors of the neonates were filled in a patient record designed to this purpose. 30% of the neonates had concentration of lead in UCB that was considered as increased risk (≥ 3,0 μg/dL), 16% of the cases had had toxic concentration of lead in UCB (≥ 5 μg/dL). We conclude that there are a high percentage of neonates contaminated with lead in the northern Lima. Citar como: Mejía CR, Quiñones-Laveriano DM, Espinoza KG, Quezada-Osoria C. Deficiente cobertura de aseguramiento en médicos durante el servicio rural y urbano-marginal en salud. Rev Peru Med Exp Salud Publica. 2013;30(2):220-3.

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Factors affecting regional variations in hospitalization expenditures of elderly residents in Japan

et al. 2014

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Aim The aim of this study was to examine the possible effects of healthcare resource factors, socioeconomic factors, and sociodemographic factors on variations in hospitalization expenditures of elderly patients in Japan at different levels of urbanization. Subject and methods A secondary analysis was conducted using data obtained from a regional health care cost report and the Portal Site of Official Statistics of Japan. The regional unit of analysis used was the secondary medical care area. We divided these areas into three groups based on their levels of urbanization (low, middle, and high urbanization), indicated by their respective population densities of inhabitable areas. Multiple linear regression models were used to analyze the candidate factors affecting per capita hospitalization expenditures of elderly residents. Results The significance and magnitude of associations were observed to vary according to different levels of urbanization. Our findings showed that medical resource factors and sociodemographic factors were more influential in areas of low urbanization, whereas the number of hospital beds and socioeconomic factors appeared more influential in high urbanization areas. Conclusion Policies designed to contain healthcare expenditures should take regional characteristics and levels of urbanization into account in order to support the development and implementation of region-specific improvements that ensure affordable healthcare for the elderly.

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The Role of Interorganizational Partnerships in Health Services Provision Among Rural, Suburban, and Urban Local Health Departments

Cited by 44 publications

References 37 publications

The Double Disparity Facing Rural Local Health Departments

The Double Disparity Facing Rural Local Health Departments

Deficiente cobertura de aseguramiento a médicos durante el servicio rural y urbano-marginal en Perú

Factors affecting regional variations in hospitalization expenditures of elderly residents in Japan

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