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首页> 外文期刊>Journal of public health management and practice: JPHMP >The relationship between local public health agency administrative variables and county health status rankings in kentucky
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The relationship between local public health agency administrative variables and county health status rankings in kentucky

机译：肯塔基州地方公共卫生机构管理变量与县健康状况排名之间的关系

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OBJECTIVES: The purpose of this research study was to determine whether specific local public health agency (LPHA) characteristics were associated with favorable county health status.Specifically, financial and administrative comparisons were made to determine whether variables such as budget size or number of employees, among others, were associated with community health status among the 120 counties in Kentucky.Other financial and administrative variables collected from LPHA data were also investigated in this study.METHODS: Administrative and financial data were collected for each local public health agency in Kentucky.This was matched with data on the health status of Kentucky counties from the 2010 University of Wisconsin MATCH (Mobilizing Action Towards Community Health Assessment) counties in select measures of health.MATCH data used included measures of health outcomes, specifically socioeconomic status (SES), mortality, and morbidity.Logistic regressions were used to determine the relationship, if any, between variations in the health agency data variables, SES, and health status.RESULTS: Analysis suggests that SES is the strongest link to county health status.Several other variables that appear to have statistically significant association with health status include the education level of the director, whether the LPHA employees received a raise, whether the LPHA had an associated Home Health agency, and the amount of money used from their reserve account to balance the LPHA budget.CONCLUSIONS: For many years, public health in Kentucky has measured the number of clinical visits and other LPHA services but failed to determine specific characteristics and variables that influence community health status.This study suggests that LPHAs in Kentucky can advance public health practice by having well-educated directors, giving annual incremental raises, and utilizing the agency reserve funds to meet budget shortfalls in the short run.Furthermore, LPHAs with an associated home health agency may need to reassess their impact and need in their community, considering the negative effect it may have on county health status.
机译：目的：本研究旨在确定特定的当地公共卫生机构（LPHA）特征是否与县县的健康状况相关。具体而言，通过财务和行政比较确定变量，例如预算规模或员工人数，其中，与肯塔基州120个县的社区健康状况有关。本研究还调查了从LPHA数据收集的其他财务和行政变量。方法：收集了肯塔基州每个地方公共卫生机构的行政和财务数据。并与2010年威斯康星大学MATCH（动员采取行动迈向社区健康评估）县的肯塔基州健康状况数据进行了比较，以选择的健康指标.MATCH数据包括健康成果的指标，特别是社会经济状况（SES），死亡率和发病率。使用Logistic回归确定结果：分析表明，SES与县健康状况之间的联系最为紧密。其他一些与健康状况之间在统计学上也具有显着相关性的变量包括：主任的教育程度，LPHA员工是否获得加薪，LPHA是否有关联的家庭保健机构以及他们的准备金帐户中用于平衡LPHA预算的金额。结论：多年来，公共卫生领域肯塔基州已经测量了临床就诊次数和其他LPHA服务的数量，但未能确定影响社区健康状况的具体特征和变量。这项研究表明，肯塔基州的LPHA可以通过拥有受过良好教育的董事，每年增加加薪来促进公共卫生实践，并利用该机构的储备金来弥补短期内的预算缺口。相关的家庭保健机构可能需要重新评估其对社区的影响和需求，考虑到其可能会对县的健康状况产生负面影响。

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