PMID- 25851799
OWN - NLM
STAT- MEDLINE
DCOM- 20170314
LR  - 20170314
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 22
IP  - 2
DP  - 2016 Mar-Apr
TI  - National Voluntary Public Health Accreditation: Are More Local Health Departments 
      Intending to Take Part?
PG  - 149-56
LID - 10.1097/PHH.0000000000000242 [doi]
AB  - OBJECTIVE: This article examines local health department (LHD) participation and 
      intentions to participate in national voluntary accreditation and reasons for not 
      seeking accreditation. Specifically, it compares the results of national surveys 
      among LHDs in 2010, 2013, and 2014. DESIGN: Longitudinal cohort study. SETTING: 
      United States. PARTICIPANTS: LHDs that responded to the 2014 Forces of Change 
      Survey and the 2010 and 2013 National Association of County and City Health 
      Officials Profile studies. MAIN OUTCOME MEASURES: LHD level of engagement in 
      Public Health Accreditation Board (PHAB) accreditation. RESULTS: Data of 2014 
      indicated that 1% of LHDs achieved accreditation and 11% had submitted an 
      application or a statement of intent, compared with 6% of LHDs that submitted an 
      application or a statement of intent in 2013. The percent of LHDs that indicated 
      they planned to apply for accreditation but had not submitted a statement of 
      intent declined from 27% in 2013 to 22% in 2014. In multivariate models, 
      controlling for governance category and jurisdiction population size, LHDs in 
      states where the state health department (SHD) participated in e-PHAB had higher 
      odds of being favorably inclined toward accreditation than those located in 
      states where the SHD was not in the e-PHAB system (odds ratio = 2.82, 95% 
      confidence interval: 1.81-4.41). Across 2013 and 2014, and across small and large 
      LHDs, the top 2 reasons for deciding not to apply for accreditation were the 
      time/effort required exceeded the benefits (67%) and fees were too high (46%). 
      CONCLUSIONS: SHDs are powerful mediators of LHDs' perceptions of the PHAB 
      accreditation program. Health department governance structure and jurisdiction 
      population size are associated with LHD accreditation participation decisions. 
      With the launch of PHAB's program, fewer LHDs are undecided about accreditation 
      participation and many have taken affirmative steps to become accredited. The top 
      2 reasons LHDs indicated for not proceeding with accreditation were time/effort 
      exceed benefit and fees perceived as too high.
FAU - Yeager, Valerie A
AU  - Yeager VA
AD  - Department of Global Health Systems and Development, Tulane School of Public 
      Health and Tropical Medicine, New Orleans, Louisiana (Dr Yeager); National 
      Association of County and City Health Officials, Washington, District of Columbia 
      (Dr Ye and Mss Robin and Leep); Public Health Accreditation Board, Alexandria, 
      Virginia (Ms Kronstadt); and Department Behavioral Sciences and Social Medicine, 
      Florida State University, College of Medicine, Tallahassee (Dr Beitsch).
FAU - Ye, Jiali
AU  - Ye J
FAU - Kronstadt, Jessica
AU  - Kronstadt J
FAU - Robin, Nathalie
AU  - Robin N
FAU - Leep, Carolyn J
AU  - Leep CJ
FAU - Beitsch, Leslie M
AU  - Beitsch LM
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Accreditation/*methods/standards
MH  - Humans
MH  - *Local Government
MH  - Multivariate Analysis
MH  - Public Health/instrumentation/*methods
MH  - United States
MH  - Voluntary Programs/trends
EDAT- 2015/04/09 06:00
MHDA- 2017/03/16 06:00
CRDT- 2015/04/09 06:00
PHST- 2015/04/09 06:00 [entrez]
PHST- 2015/04/09 06:00 [pubmed]
PHST- 2017/03/16 06:00 [medline]
AID - 10.1097/PHH.0000000000000242 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2016 Mar-Apr;22(2):149-56. doi: 
      10.1097/PHH.0000000000000242.