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首页> 外文期刊>Journal of public health management and practice: JPHMP >Examination of the relationship between public health statute modernization and local public health system performance.
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Examination of the relationship between public health statute modernization and local public health system performance.

机译：检验公共卫生法规现代化与当地公共卫生系统绩效之间的关系。

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OBJECTIVES: Wide variation in performance of public health (PH) systems, coupled with national interest in improving PH system quality, makes it a priority to identify factors associated with performance. One factor may be congruence between a state's PH enabling statutes and the obligations outlined in Public Health in America-the collaboratively developed framework that defines the mission and essential services (ESs) of PH. SUBJECTS: This research examined the relationship between (1) the degree to which language in a state's PH enabling statutes reflects PH's mission and ESs and (2) the performance of local public health systems in delivering ESs, measured by National Public Health Performance Standards scores in 207 local jurisdictions. METHODS: Binary logistic regression demonstrated that a high degree of congruence between statutory language and public health's mission increased the odds of above-average system performance for 5 of 10 ESs. RESULTS: High levels of congruence between statutory language and the ESs themselves increased odds of above-average system performance for 6 of 10 ESs. Results yielded modest odds ratios (<2.0). CONCLUSIONS: Limitations of the data make it impossible to draw firm conclusions; however, these modest results suggest that statutory language may account for little of the variation in local public health system performance.
机译：目标：公共卫生（PH）系统的性能差异很大，加上国家对提高PH系统质量的兴趣，使其成为确定与性能相关的因素的优先级。一个因素可能是州的PH启用法规与美国《公共卫生》中概述的义务之间的一致性。这种共同开发的框架定义了PH的使命和基本服务（ES）。主题：这项研究检查了以下因素之间的关系：（1）国家PH支持法规中的语言反映PH的使命和ES的程度;以及（2）由国家公共卫生绩效标准得分衡量的地方公共卫生系统在交付ES中的绩效在207个地方辖区中。方法：二元逻辑回归表明，法定语言和公共卫生使命之间的高度一致性增加了10个ES中有5个ES系统性能高于平均水平的几率。结果：法定语言与ES本身之间的高度一致提高了10个ES中有6个ES的系统性能高于平均水平的几率。结果产生了适中的优势比（<2.0）。结论：数据的局限性使得不可能得出明确的结论。但是，这些适度的结果表明，法定语言可能无法解释当地公共卫生系统绩效的差异。

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