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Journal of Public Health Management and Practice: JPHMP

Gulzar H Shah, William A Mase, Kristie C Waterfield
CONTEXT: Health disparities and health inequities can lead to poor health outcomes. However, health disparities continue to persist in communities across the United States, presenting a crucial public health challenge. Persisting budget cuts and workforce challenges tend to hinder local health departments' (LHDs') ability to assess and address health disparities. OBJECTIVES: To examine the extent to which LHDs' use of informatics effects their engagement in strategies and activities addressing health disparities...
July 2, 2018: Journal of Public Health Management and Practice: JPHMP
Czarina N Behrends, Ashley A Eggman, Sarah Gutkind, Marie P Bresnahan, Kyle Fluegge, Fabienne Laraque, Alain H Litwin, Paul Meissner, Shuchin J Shukla, Ponni V Perumalswami, Jeffrey Weiss, Brooke E Wyatt, Bruce R Schackman
OBJECTIVE: To estimate the cost of delivering a hepatitis C virus care coordination program at 2 New York City health care provider organizations and describe a potential payment model for these currently nonreimbursed services. DESIGN: An economic evaluation of a hepatitis C care coordination program was conducted using micro-costing methods compared with macro-costing methods. A potential payment model was calculated for 3 phases: enrollment to treatment initiation, treatment initiation to treatment completion, and a bonus payment for laboratory evidence of successful treatment outcome (sustained viral response)...
July 2, 2018: Journal of Public Health Management and Practice: JPHMP
Valerie A Yeager, Janna M Wisniewski, Theresa Chapple-McGruder, Brian Castrucci, Elizabeth Gould
CONTEXT: Ensuring adequate and appropriate training of the workforce is a crucial priority for governmental public health. This is particularly important, given the diverse backgrounds of the public health workforce; the vast majority (approximately 83%) do not have formal training in public health, and those that do have formal training in public health have limited training in management and other essential organizational skills. OBJECTIVE: The purpose of this article is to identify training needs among public health workers in specific job types and settings...
June 21, 2018: Journal of Public Health Management and Practice: JPHMP
Kevin A Kovach, Christina R Welter, Steven M Seweryn, Griselle Torres
OBJECTIVES: Collaboration between local health departments (LHDs) and schools and programs of public health (SPPH) may be a way to improve practice, education, and research. However, little is known about why LHDs and SPPH collaborate. This mixed-methods study addressed this issue by exploring what LHDs and SPPH perceive to be beneficial about their collaboration. METHODS: A mixed-methods study using quantitative and qualitative data was conducted. A survey of 2000 LHDs that completed the 2013 National Profile of LHDs measured how important and effective LHDs perceived 30 indicators of the 10 essential public health services to be for collaboration with SPPH...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Huabin Luo, Zhuo Adam Chen, Lei Xu, Ronny A Bell
OBJECTIVE: This study aimed to assess whether the recent Medicaid expansion, as a natural experiment, was associated with better access to care and, as a consequence, better receipt of clinical diabetes care services. METHODS: Data were from the Behavioral Risk Factor Surveillance System (BRFSS). The analytical sample included 20 708 working-age adults with diabetes aged 18 to 64 years from 22 states. The outcome variables included 4 measures of access to care and 4 measures of receipt of clinical diabetes care services...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Shashi N Kapadia, Carrie D Johnston, Kristen M Marks, Bruce R Schackman, Erika G Martin
CONTEXT: Curative treatments for hepatitis C virus (HCV) can alter the course of a devastating epidemic, but high drug prices have contributed to restrictions on HCV treatment access. OBJECTIVE: We aimed to learn how state health agencies have responded to the challenges of treatment access for HCV. DESIGN: Qualitative study using semistructured key informant interviews focused on aspects of HCV treatment access between June 2016 and March 2017...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Elena Grossman, Michelle Hathaway, Kathleen F Bush, Matthew Cahillane, Dorette Q English, Tisha Holmes, Colleen E Moran, Christopher K Uejio, Emily A York, Samuel Dorevitch
CONTEXT: Human health is threatened by climate change. While the public health workforce is concerned about climate change, local health department (LHD) administrators have reported insufficient knowledge and resources to address climate change. Minigrants from state to LHDs have been used to promote a variety of local public health initiatives. OBJECTIVE: To describe the minigrant approach used by state health departments implementing the Centers for Disease Control and Prevention's (CDC's) Building Resilience Against Climate Effects (BRACE) framework, to highlight successes of this approach in promoting climate change preparedness at LHDs, and to describe challenges encountered...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
J Mac McCullough, Nicole Fowle, Tammy Sylvester, Melissa Kretschmer, Aurimar Ayala, Saskia Popescu, Jolie Weiss, Bob England
OBJECTIVE: To generate estimates of the direct costs of mounting simultaneous emergency preparedness and response activities to respond to 3 major public health events. DESIGN: A cost analysis was performed from the perspective of the public health department using real-time activity diaries and retrospective time and activity self-reporting, wage and fringe benefit data, and financial records to track costs. SETTING: Maricopa County Department of Public Health (MCDPH) in Arizona...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Erika G Martin, Christine T Bozlak, Young Joo Park
No abstract text is available yet for this article.
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Yan Li, Shelley H Liu, Li Niu, Bian Liu
This study identifies and ranks predictors of cardiovascular health at the neighborhood level in the United States. We merged the 500 Cities Data and the 2011-2015 American Community Survey to create a new data set that includes sociodemographic characteristics, health behaviors, prevention measures, and cardiovascular health outcomes for more than 28 000 census tracts in the United States. We used random forest to rank predictors of coronary heart disease and stroke. For coronary heart disease, the top 5 ordered predictors were the prevalence of taking medicine for high blood pressure control, binge drinking, being aged 65 years or older, lack of leisure-time physical activity, and obesity...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Elizabeth Gyllstrom, Kimberly Gearin, Donald Nease, Betty Bekemeier, Rebekah Pratt
OBJECTIVE: To describe the degree of public health and primary care collaboration at the local level and develop a model framework of collaboration, the Community Collaboration Health Model (CCHM). DESIGN: Mixed-methods, cross-sectional surveys, and semistructured, key informant interviews. SETTING: All local health jurisdictions in Colorado, Minnesota, Washington, and Wisconsin. PARTICIPANTS: Leaders from each jurisdiction were identified to describe local collaboration...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Meghan Jarpe, Jennifer E Mosley, Bikki Tran Smith
OBJECTIVE: The Continuum of Care (CoC) process-a nationwide system of regional collaborative planning networks addressing homelessness-is the chief administrative method utilized by the US Department of Housing and Urban Development to prevent and reduce homelessness in the United States. The objective of this study is to provide a benchmark comprehensive picture of the structure and practices of CoC networks, as well as information about which of those factors are associated with lower service gaps, a key goal of the initiative...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Jessica Leung, Sarah Reagan-Steiner, Adriana Lopez, Jenny Jeyarajah, Mona Marin
CONTEXT: Since 2007, 2 doses of varicella vaccine have been routinely recommended, with a catch-up second dose recommended for those who received only 1 prior dose. OBJECTIVE: To examine varicella vaccination coverage with 2 or more doses and the proportions of adolescents with evidence of immunity to varicella (≥2 doses of vaccine or varicella history) during 2007-2014. To assess timing of second-dose receipt, factors associated with 2 or more vaccine doses, and missed second-dose opportunities during 2014...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Maxim Gakh, Karen Callahan, Aaliyah Goodie, Lainie Rutkow
Gubernatorial executive orders (GEOs) are important, yet poorly understood, public health tools. We analyzed health-related GEOs nationwide using a modified legal mapping approach. We searched Westlaw's Netscan Executive Orders database for orders issued between 2008 and 2014. Search terms were generated from the Healthy People 2020 Leading Health Indicators (LHIs). GEOs were screened with data abstracted and analyzed on the basis of LHIs, states, years, and characteristics identified in previous literature...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Carol W Runyan, Ashley Brooks-Russell, Marian E Betz
Counseling about reducing access to lethal means of suicide, especially firearms, is a recommended practice in emergency departments (EDs) but does not occur routinely. Understanding influencers of decisions makers in health care (ED nurse leaders, mental health providers) and temporary firearm storage (law enforcement and gun retailers) could enhance practice. We surveyed these 4 groups in the 8-state region of the Mountain West. For ED nurse leaders (n = 190), hospital legal, risk management, and quality improvement representatives, and the ED nursing director were most often cited as influential, whereas mental health providers (n = 67) cited their own team...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Jamie Pina, Barbara L Massoudi, Kelley Chester, Mark Koyanagi
CONTEXT: Researchers and analysts have not completely examined word frequency analysis as an approach to creating a public health quality improvement taxonomy. OBJECTIVE: To develop a taxonomy of public health quality improvement concepts for an online exchange of quality improvement work. DESIGN: We analyzed documents, conducted an expert review, and employed a user-centered design along with a faceted search approach to make online entries searchable for users...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Amy A Eyler, Elizabeth Piekarz-Porter, Natalicio H Serrano
CONTEXT: Participation in high school sports can impact the physical and mental health of students and influence other positive social and economic outcomes. To maintain sports programs amidst school budget deficits, many districts are implementing sports participation fee policies. Although locally implemented, these district policies can be guided by state law. OBJECTIVE: The main objective of this study was to assess state laws and regulations related to high school sports participation fees...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Kimberly K Repp, Eva Hawes, Kathleen J Rees, Beth Vorderstrasse, Sue Mohnkern
CONTEXT: Conducting a large-scale Community Assessment for Public Health Emergency Response (CASPER) in a geographically and linguistically diverse county presents significant methodological challenges that require advance planning. PROGRAM: The Centers for Disease Control and Prevention (CDC) has adapted methodology and provided a toolkit for a rapid needs assessment after a disaster. The assessment provides representative data of the sampling frame to help guide effective distribution of resources...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Angela A Aidala, Brittney Cavaliere, Samantha Cinnick
CONTEXT: A key component of the improvement of public health infrastructure in the United States revolves around public health workforce development and training. Workforce challenges faced by the public health system have long been recognized, but there are additional challenges facing any region-wide or cross-jurisdictional effort to accurately assess priority workforce training needs and develop training resources to address those needs. These challenges include structural variability of public health organizations; diverse population health contexts; capturing both topic-specific skill sets and foundational competencies among public health workers; and reaching/representing the target population despite suspicion, disinterest, and/or assessment "fatigue" among employees asked to participate in workforce development surveys...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Paula A Keller, Raymond G Boyle, Rebecca K Lien, Bruce Christiansen, Kate Kobinsky
Although telephone quitlines are effective for helping smokeless tobacco (ST) users quit, ST users are underrepresented among quitline participants. After ClearWay Minnesota implemented multiple changes to its quitline service (QUITPLAN® Services), utilization increased dramatically, including by ST users. We examined data from Minnesota and Wisconsin to determine whether these changes were unique to Minnesota. Four years of quitline registration data were analyzed for both states. A significant increase in enrollees reporting any ST use was seen in Minnesota after changes were made to services; no change was seen in Wisconsin...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
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