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首页> 外文期刊>Journal of public health management and practice: JPHMP >Health districts as quality improvement collaboratives and multijurisdictional entities
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Health districts as quality improvement collaboratives and multijurisdictional entities

机译：卫生区作为质量改进协作组织和多辖区实体

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Context: Local health departments are increasingly challenged to meet emerging health problems at the same time that they are being challenged with dwindling resources and the demands of accreditation. Objective: To assess the capacity of Multicounty health districts to serve as "Quality Improvement Collaboratives" and support local health departments to meet accreditation standards. Design: The study used an online survey tool and follow-up phone calls with key informants in health districts and county health departments in Georgia. Data collection was primarily based on an instrument to measure Quality Improvement Collaboratives that was adapted and tested for use with public health agencies in Georgia. Setting: The Georgia PBRN conducted this study of health districts and county health departments. The Georgia Department of Public Health supports 18 health districts and 159 county health departments (GA DPH, 2011). The health districts range in county composition from 1 to 16 counties in each district. PARTICIPANTS:: Key informants comprised district and county health department staff and county health department board members were identified by 13 participating health district offices. Results : Key opinion leaders from both the rural and nonrural counties agreed that the Districts were important for providing essential services and supporting quality improvement collaboration. Psychometric testing of the Quality Improvement Collaborative assessment public health instrument yielded high scores for validity and reliability. Conclusions and Implications: Regionalization of local public health capacity is a critical emerging issue for public health accreditation and quality improvement. This study demonstrated the utility of regionalization across traditional local geopolitical boundaries.
机译：背景：地方卫生部门面临越来越多的挑战，以应对新出现的卫生问题，同时，他们面临的资源减少和认证要求也面临挑战。目的：评估多县卫生区作为“质量改进合作组织”的能力，并支持当地卫生部门达到认证标准。设计：该研究使用了在线调查工具，并与乔治亚州卫生区和县卫生部门的关键信息提供者进行了后续电话联系。数据收集主要基于一种衡量质量改进协作的工具，该工具经过改编并经过测试，可与乔治亚州的公共卫生机构一起使用。背景：佐治亚州PBRN对卫生区和县卫生部门进行了这项研究。佐治亚州公共卫生部支持18个卫生区和159个县卫生部门（GA DPH，2011年）。卫生区的县组成范围从每个区的1到16个县。参与者：由13个参与计划的卫生区办公室确定了主要的信息提供者，包括县和县卫生部门的工作人员以及县卫生部门的董事会成员。结果：来自农村和非农村县的主要意见领袖都认为，地区对于提供基本服务和支持质量改进合作非常重要。质量改进协作评估公共卫生工具的心理测试获得了较高的有效性和可靠性评分。结论和启示：地方公共卫生能力的区域化是公共卫生认证和质量改善的一个关键的新兴问题。这项研究证明了区域化在传统的当地地缘政治边界上的效用。

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