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The impact of critical events of the 1980s on core functions for a selected group of local health departments.
  • Published Date:
    1993 Nov-Dec
  • Source:
    Public Health Rep. 108(6):695-700
  • Language:
    English
Filetype[PDF-1.24 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    Directors of 14 public health departments were surveyed for their perceptions on the impact of 20 critical events of the 1980s on public health performance. The departments were selected in 1979 from among those that were highly regarded by public health experts for exemplary performance, especially with regard to personal health services. The departments were the subjects of intensive case studies in 1979, 1983, and again in 1992. The public health functions that were most benefited in the 1980s were assessment and policy development. The assurance function was equivocally affected. Greatest positive impact was exerted by the acquired immunodeficiency syndrome-human immunodeficiency virus epidemic, by increase in fee income, and by the Institute of Medicine report, "The Future of Public Health." Negative influences, especially on the assurance function were exerted by loss of Federal grants, demographic changes, substance abuse, and economic downturn. Other critical events had equivocal or idiosyncratic effects. Analysis of public health practice according to the functions of assessment, policy development, and assurance appears to have utility for purposes of evaluation and planning.

    The study was supported by a cooperative agreement between the Association of Schools of Public Health and the Public Health Practice Program Office of the Centers for Disease Control and Prevention, Atlanta, GA.

  • Subject:
  • Pubmed ID:
    8265753
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Place as Subject:
    United States
  • Collection(s):
    Public Health Reports
    CDC Public Access
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
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      Melnick, S L; Burke, G L; Perkins, L L; McCreath, H; Gilbertson, D T; Sidney, S; Hulley, S B;
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      Published Date:
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    8. Income and racial patterns of dietary vitamin C intake among black and white girls.
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      Published Date:
      1993 Nov-Dec
      Source:
      Public Health Rep. 108(6):760-764
      Description:
      The authors examined the influence of income and race on mean dietary vitamin C intake and the risk of dietary vitamin C intake at levels below the recommended dietary allowance (RDA). They performed a cross-sectional analysis of 2,032 black and whit...
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    9. Public Health Reports ; v. 108, no. 6, November-December 1993 : cover
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      Source:
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      Personal Author:
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      Published Date:
      1993 Nov-Dec
      Source:
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      Description:
      The estimated number of walker-related injuries to infants increased during the 1980s, and standards for walker design safety remain voluntary with no monitoring to assess compliance. Although banning the walker has been proposed, this prevention str...
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    12. Patterns and predictors of smoking cessation among users of a telephone hotline.
      Personal Author:
      Jaén, C R; Cummings, K M; Zielezny, M; O'Shea, R;
      Published Date:
      1993 Nov-Dec
      Source:
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      Personal Author:
      Marin, B V; Gomez, C A; Tschann, J M;
      Published Date:
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    14. Public Health Rep ; v. 108, no. 6 : table of contents
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      Published Date:
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      Source:
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      1993 Nov-Dec
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