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Local Health Department Factors Associated With Performance in the Successful Implementation of Community-Based Strategies: A Mixed-Methods Approach.
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- Author(s): Gyllstrom, Elizabeth (AUTHOR); Gearin, Kimberly (AUTHOR); Frauendienst, Renee (AUTHOR); Myhre, Julie (AUTHOR); Larson, Michelle (AUTHOR); Riley, William (AUTHOR)
- Source:
American Journal of Public Health. Apr2015 Supplement 2, Vol. 105 Issue S2, pS311-S317. 7p. 1 Chart. - Source:
- Additional Information
- Subject Terms: CONFIDENCE intervals; CORPORATE culture; STATISTICAL correlation; ENDOWMENTS; FACTOR analysis; INFORMATION storage & retrieval systems; MEDICAL databases; INTERVIEWING; LEADERSHIP; LOCAL government; RESEARCH methodology; ORGANIZATIONAL change; EVALUATION of organizational effectiveness; PUBLIC health administration; QUALITY assurance; RESEARCH funding; THEORY-practice relationship; PREDICTIVE validity; INSTITUTIONAL cooperation; HUMAN services programs; RETROSPECTIVE studies; DESCRIPTIVE statistics; ODDS ratio; EVALUATION
- Subject Terms:
- Abstract: Objectives. We examined which local health department (LHD)-level factors contributed to successful implementation of policy, systems, and environmental change strategies in Minnesota. Methods. We used a retrospective mixed-methods design to evaluate the relationship between the Statewide Health Improvement Plan (SHIP) grant initiative and key predictor variables (2009-2011). We obtained quantitative capacity data for 91 cities and counties in Minnesota; in addition, we conducted 15 key informant interviews to examine factors that facilitated and acted as barriers to LHD performance. Results. Grantee performance was distributed as follows: exceeds expectations (29.7%), meets expectations (55.0%), and is approaching expectations (15.3%). Organizational quality improvement (QI) maturity was strongly positively associated with grantee performance on SHIP. Organizations with high QI maturity, effective leadership, efficient decision-making, and successful regional or cross-jurisdictional partnerships were more likely to be rated as exceeding expectations. Conclusions. This study successfully translated practice-based research findings into tangible outcomes, including new system-level performance measures for local public health and recommendations for shaping the statewide initiative examined in this study. The approach taken in this study to systematically monitor communications, dissemination, and translation may be a model for others. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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