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Analyzing organizational practices in local health departments.
  • Published Date:
    1994 Jul-Aug
  • Source:
    Public Health Rep. 109(4):485-490
  • Language:
    English
Filetype[PDF-1.10 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    Few researchers have examined the problem of comparing the performances of local health departments. A contributing factor is the lack of a uniform method for describing the range of public health activities. The Centers for Disease Control and Prevention's Public Health Practice Program Office has identified 10 organizational practices that may be used to assure that the core functions of public health are being carried out at a local health department. The researchers determined the percentage of time devoted to each of the 10 practices by individual employees at a local public health unit in Tampa, FL. They identified the manpower expenditures and hours allocated to each of the 10 practices within the major program divisions of the unit. They found that the largest portion of manpower resources was allocated to implementing programs. A much smaller fraction of agency resources was devoted to analysis of the health needs of the community and to the development of plans and policies. Together, primary care and communicable disease programs accounted for fully three-quarters of the resources, environmental health for 11 percent, and administrative support services for 13 percent. With continuing refinement and modification, the methodology could provide a highly effective basis for describing and analyzing the activities and performances of local health departments.
  • Subject:
  • Pubmed ID:
    8041847
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Place as Subject:
    Florida
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. A state program for postpartum HIV counseling and testing.
      Personal Author:
      Holman, S; Sorin, M D; Crossette, J; LaChance-McCullough, M L;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):521-529
      Description:
      The New York State Department of Health began its Obstetrical HIV Counseling/Testing/Care Initiative in 1989. The objective of the initiative was to expand the availability of and access to human immunodeficiency virus (HIV) infection counseling and ...
      File Type:
      Filetype[PDF - 1.26 MB]
    2. Building a community-based consortium for AIDS patient services.
      Personal Author:
      Myers, A M; Pfeiffle, P; Hinsdale, K;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):555-562
      Description:
      The authors describe a 3-year effort by a public health care system in a large metropolitan area to obtain Federal funds for treating patients with acquired immunodeficiency syndrome (AIDS). During that process, program planners moved incrementally f...
      File Type:
      Filetype[PDF - 1.56 MB]
    3. Evaluation of Group Health Cooperative of Puget Sound's Senior Influenza Immunization Program.
      Personal Author:
      Pearson, D C; Thompson, R S;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):571-578
      Description:
      The goal of this study was to identify areas in which an influenza immunization campaign for seniors, sponsored by a health maintenance organization (HMO), could be improved. This study was conducted at Group Health Cooperative of Puget Sound (GHC), ...
      File Type:
      Filetype[PDF - 1.38 MB]
    4. Risk behavior for HIV transmission among gay men surveyed in Seattle bars.
      Personal Author:
      Steiner, S; Lemke, A L; Roffman, R A;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):563-566
      Description:
      Men attending four Seattle gay bars were asked to complete a self-administered questionnaire including measures of sexual behavior, perceptions of peer norms in the area of sexual safety, personal human immunodeficiency virus (HIV) risk estimate, and...
      File Type:
      Filetype[PDF - 809.38 KB]
    5. A new mandate for public health.
      Personal Author:
      Snyder, Lynne Page
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):469-471
      Series:
      PHS Chronicles
      Description:
      Images
      File Type:
      Filetype[PDF - 920.68 KB]
    6. PUBLIC HEALTH PROGRAMS AND PRACTICES
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):586-591
      File Type:
      Filetype[PDF - 1.16 MB]
    7. Public Health Reports ; v. 109, no. 4, July-August, 1994 : cover
      Published Date:
      Jul-Aug 1994
      Source:
      Public Health Rep. 109 (4)
      Description:
      Reinventing Public Health-50th Anniversary of the Public Health Service Act of 1944
      File Type:
      Filetype[PDF - 1020.40 KB]
    8. Reinventing the Public Health Service--a look in a 50-year-old mirror.
      Personal Author:
      Lee, P R
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):466-467
      Description:
      Special section: 50th anniversary of the Public Health Service Act
      File Type:
      Filetype[PDF - 267.27 KB]
    9. Medical community involvement in a breast cancer screening promotional project.
      Personal Author:
      Taylor, V M; Taplin, S H; Urban, N; Mahloch, J; Majer, K A;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):491-499
      Description:
      The analysis, mobilization, and involvement of medical communities in two counties targeted for intervention by the Washington State Community Breast Cancer Screening Project is described. Principles of community organization were applied to the heal...
      File Type:
      Filetype[PDF - 1.69 MB]
    10. Public Health Rep ; v. 109, no. 4 : Masthead
      Published Date:
      Jul-Aug 1994
      Source:
      Public Health Rep. 109(4)
      File Type:
      Filetype[PDF - 646.99 KB]
    11. Sexual risk behavior of incarcerated, drug-using women, 1992.
      Personal Author:
      Schilling, R; el-Bassel, N; Ivanoff, A; Gilbert, L; Su, K H; Safyer, S M;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):539-547
      Description:
      In this study, sexual risk behavior of 104 incarcerated female drug users is examined. Findings demonstrate that incarcerated women who use drugs are at high risk for human immunodeficiency virus (HIV) infection because of their behavior prior to arr...
      File Type:
      Filetype[PDF - 1.73 MB]
    12. Public Health Service Act, 1944.
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):468
      Description:
      cdc:70417,cdc:64072Reprint of July 14, 1944 article, Public Health Rep. 59(28):916-917.
      File Type:
      Filetype[PDF - 191.67 KB]
    13. Public Health Rep ; v. 109, no. 4 : table of contents
      Published Date:
      Jul-Aug 1994
      Source:
      Public Health Rep. 109(4)
      File Type:
      Filetype[PDF - 614.94 KB]
    14. Change in the number of informal helpers of frail older persons.
      Personal Author:
      Miller, Baila; Furner, Sylvia E.;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):583-586
      Description:
      Little is known of the extent to which helper networks of frail older persons change over time and what factors are associated with change. Few national estimates of the scope of change exist to aid policy planners. This study provides national estim...
      File Type:
      Filetype[PDF - 589.11 KB]
    15. Peer discussions of cancer among Hispanic migrant farm workers.
      Personal Author:
      Lantz, Paula M.; Dupuis, Laurence; Reding, Douglas; Krauska, Michelle; Lappe, Karen;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):512-520
      Description:
      Hispanic migrant agricultural workers' exposure to pesticides and other agrichemicals places them at increased risk for a variety of acute and chronic conditions, including cancer. As a socioeconomically disadvantaged group, migrant workers also face...
      File Type:
      Filetype[PDF - 1.80 MB]
    16. Is the high ischemic heart disease mortality rate in New York State just an urban effect?
      Personal Author:
      McNutt, Louise-Anne; Strogatz, David S.; Coles, F. Bruce; Fehrs, Laura J.;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):567-570
      Description:
      To determine whether New York State's high ischemic heart disease mortality rate was due primarily to an urban effect, rates for regions in the State were compared with each other and with national data. New York State mortality rates for the period ...
      File Type:
      Filetype[PDF - 653.78 KB]
    17. NATIONAL CENTER FOR HEALTH STATISTICS DATA LINE
      Personal Author:
      Smith, Sandra S.
      Published Date:
      Jul 1994
      Source:
      Public Health Rep. 109(4):592-592.1
      File Type:
      Filetype[PDF - 373.87 KB]
    18. Implementing and assessing organizational practices in local health departments.
      Personal Author:
      Turnock, Bernard J.; Handler, Arden; Dyal, William W.; Christenson, Gregory; Vaughn, Edward H.; Rowitz, Louis; Munson, Judith W.; Balderson, Thomas, R.; Richards, Thomas B.;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):478-484
      Description:
      One of the most difficult forms of public health practice to characterize involves governmental public health agencies, especially at the local level. A lack of consensus within the public health community as to the purpose and content of organizatio...
      File Type:
      Filetype[PDF - 1.13 MB]
    19. Money for guns: evaluation of the Seattle Gun Buy-Back Program.
      Personal Author:
      Callahan, Callahan M.; Rivara, Frederock P.; Koepsell, Thomas D.;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):472-477
      Description:
      Community involvement in local firearms policy is advocated to be an important component of efforts to curtail violence. This report describes the first evaluation of one such effort, a gun buy-back program conducted in Seattle, WA, during the fall o...
      File Type:
      Filetype[PDF - 1.02 MB]
    20. Evaluation of the Consensus Health Status Indicator for assessing adolescent pregnancies and births.
      Personal Author:
      McKenna, Paul J.; Wiesner, Paul J.;
      Published Date:
      1994 Jul-Aug
      Source:
      Public Health Rep. 109(4):579-582
      Description:
      The authors used vital statistics and population data for DeKalb County, GA, in an evaluation of the accuracy of the Consensus Health Status Indicator for assessing adolescent pregnancies and births. The indicator used was the number of births to fem...
      File Type:
      Filetype[PDF - 622.33 KB]
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