Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Allen, Peg. ; Sequeira, Sonia. ; Best, Leslie. ; Jones, Ellen ; Baker, Elizabeth A. ; ... More +
Allen, Peg. ; Sequeira, Sonia. ; Best, Leslie. ; Jones, Ellen ; Baker, Elizabeth A. ; Brownson, Ross C. Less -
Description:
Introduction

Chronic disease prevention efforts have historically been funded categorically according to disease or risk factor. Federal agencies are now progressively starting to fund combined programs to address common risk. The purpose of this study was to inform transitions to coordinated chronic disease prevention by learning views on perceived benefits and challenges of a coordinated approach to funding.

Methods

A national survey on evidence-based public health was conducted from March through May 2013 among state health department employees working in chronic disease prevention (N = 865). Participants were asked to rank the top 3 benefits and top 3 challenges in coordinating chronic disease approaches from provided lists and could provide additional responses. Descriptive analyses, χ2 tests, and analysis of variance were conducted.

Results

The most common perceived benefits of coordinated approaches to chronic disease prevention were improved health outcomes, common risk factors better addressed, and reduced duplication of program efforts. The most common perceived challenges were funding restrictions, such as disease-specific performance measures; competing priorities; lack of communication across programs; funding might be reduced; agency not structured for program coordination; and loss of disease-specific partner support. Rankings of benefits and challenges were similar across states and participant roles; the perceived challenges “lack of communication across programs” (P = .02) and “funding might be reduced” differed by program area (P < .001).

Conclusion

Findings can be used by funding agencies and state health departments for planning, training, and technical assistance. The information on perceived challenges demonstrates the need to improve communication across programs, enhance organizational support for coordinated approaches, and create benefits for organizational partners.


Subjects:
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Administrative Personnel/psychology Analysis Of Variance Attitude Of Health Personnel Chronic Disease Evidence-Based Practice Female Financing, Government Government Agencies Health Priorities Humans Male Organizational Objectives Perception Preventive Health Services Professional Competence Public Health Public Health Administration State Government Surveys And Questionnaires Workforce
Source:
Prev Chronic Dis. 11.
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:5b7d13ff91ce68e1bd2dc25eb7467cb9d7b7dc3ed04e53a2fbc0ea9f9e28e614
Download URL:
https://stacks.cdc.gov/view/cdc/23103/cdc_23103_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-11-E76.nxml	txt
  	PCD11-E76s01.gif	gif
  	PCD11-E76s01.jpg	jpeg

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