Journal of public health management and practice : JPHMP · 2024
Examining the Association Between Public Health Accreditation and COVID-19 Outcomes.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Davis Mary V, Rider Nikki, Rashied Ammar A, Bhat Shankar, Lang Britt
Аннотация
OBJECTIVE: To examine the association between local health department (LHD) accreditation and COVID-19 community outcomes, including rates of adult vaccination, hospitalization, and death.
DESIGN: We examined county level rates of adult vaccination, hospitalization, and death by LHD accreditation status over the course of the COVID pandemic. Additional independent variables included time period, COVID-19 Community Vulnerability Index (CCVI), state public health governance structure, and state policy environment. We used hierarchal linear mixed modeling with random intercept for county level data to account for repeated observations and fixed effects for all other variables.
SETTING: This study examined all communities in the United States of America.
PARTICIPANTS: LHDs and the communities they serve.
MAIN OUTCOME MEASURES: Rates of adult vaccination, hospitalization, and death due to COVID-19.
RESULTS: Among accredited LHDs, the adult population was more likely to be fully vaccinated when compared to unaccredited LHDs ( P < .01). Additional variables in the model, which were also significant, included time period, CCVI, state policy environment, and state public health governance structure. There were no significant differences in the hospitalization rates in jurisdictions with an accredited LHD compared to jurisdictions where the LHD is not accredited. Death rates in jurisdictions with an accredited LHD were statistically significantly lower than death rates in jurisdictions where the health department was not accredited ( P < .001). This relationship was significant with other key variables in the model, including time, CCVI, state policy environment, and state public health governance structure.
CONCLUSIONS: This study demonstrates that there is an association between LHD accreditation and community health outcomes. Furthermore, we found that other factors, such as social determinants of health, state policy environment, and state public health governance structure impact community health outcomes.
DESIGN: We examined county level rates of adult vaccination, hospitalization, and death by LHD accreditation status over the course of the COVID pandemic. Additional independent variables included time period, COVID-19 Community Vulnerability Index (CCVI), state public health governance structure, and state policy environment. We used hierarchal linear mixed modeling with random intercept for county level data to account for repeated observations and fixed effects for all other variables.
SETTING: This study examined all communities in the United States of America.
PARTICIPANTS: LHDs and the communities they serve.
MAIN OUTCOME MEASURES: Rates of adult vaccination, hospitalization, and death due to COVID-19.
RESULTS: Among accredited LHDs, the adult population was more likely to be fully vaccinated when compared to unaccredited LHDs ( P < .01). Additional variables in the model, which were also significant, included time period, CCVI, state policy environment, and state public health governance structure. There were no significant differences in the hospitalization rates in jurisdictions with an accredited LHD compared to jurisdictions where the LHD is not accredited. Death rates in jurisdictions with an accredited LHD were statistically significantly lower than death rates in jurisdictions where the health department was not accredited ( P < .001). This relationship was significant with other key variables in the model, including time, CCVI, state policy environment, and state public health governance structure.
CONCLUSIONS: This study demonstrates that there is an association between LHD accreditation and community health outcomes. Furthermore, we found that other factors, such as social determinants of health, state policy environment, and state public health governance structure impact community health outcomes.