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首页> 外文期刊>Journal of public health management and practice: JPHMP >Measuring the authority of local public health directors in the context of organizational structure: An exploratory, multimodal approach
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Measuring the authority of local public health directors in the context of organizational structure: An exploratory, multimodal approach

机译：在组织结构中衡量地方公共卫生主管的权威：一种探索性的多模式方法

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Context: Studies have reported a relationship between the organization of public health services and variability in public health practice at the local and state levels. A national research agenda has prioritized practice-based research to understand pathways that lead to this variation and examine the impact of these differences on outcomes. Objectives: To measure the extent to which Minnesota local health directors report having key authorities and examine the relationship between organizational structure and authority of local health directors. Design: Multimodal. Setting: Minnesota local health departments. PARTICIPANTS:: Directors of Minnesota local health departments. Main Outcome Measure(S):: Director authorities. Results : Most Minnesota local health directors reported having 6 key authorities related to budget preparation and modification and interaction with local elected officials (n = 51, 71%). Twelve directors (16%) reported that they have 4 or fewer of the 6 authorities. The authority most commonly reported as lacking was the authority to initiate communication with locally elected officials (n = 15, 21%). The percentage of directors who reported having all 6 authorities was higher among those in stand-alone departments (82%) than those in combined organizations (50%). Conclusions : This descriptive study illustrates that emerging practice-based research networks can successfully collaborate on small-scale research projects with immediate application for systems development. Study findings are being used by local public health officials to help articulate their role, aid in succession planning, and inform elected officials, who need to consider the public health implications of potential changes to local public health governance and organization. More studies are needed to refine measurement of authority and structure.
机译：背景：研究报告了公共卫生服务的组织与地方和州级公共卫生实践的可变性之间的关系。国家研究议程已将基于实践的研究放在优先位置，以了解导致这种差异的途径并检查这些差异对结果的影响。目标：衡量明尼苏达州地方卫生主管报告拥有关键权限的程度，并检查组织结构与地方卫生主管权限之间的关系。设计：多模式。地点：明尼苏达州地方卫生部门。参加者：明尼苏达州地方卫生部门负责人。主要结果指标：：主管当局。结果：明尼苏达州的大多数地方卫生主管报告说，有6个主要机构与预算编制，修改和与地方民选官员的互动有关（n = 51，71％）。 12位董事（16％）报告说，在6个机构中，他们只有4个或更少。最常报告为缺乏的权力是与当地民选官员进行沟通的权力（n = 15，21％）。报告说拥有全部六个权限的董事比例在独立部门中占82％，高于合并部门中占50％。结论：这项描述性研究表明，基于实践的新兴研究网络可以在小规模研究项目上成功合作，并且可以立即应用于系统开发。地方公共卫生官员正在使用研究结果来帮助阐明他们的角色，协助继任规划，并告知民选官员，他们需要考虑可能对地方公共卫生治理和组织进行潜在变更对公共卫生的影响。需要进行更多研究以完善对权威和结构的度量。

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