PMID- 31921739
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2296-2565 (Print)
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 7
DP  - 2019
TI  - Local Health Department Accreditation Is Associated With Organizational Supports 
      for Evidence-Based Decision Making.
PG  - 374
LID - 10.3389/fpubh.2019.00374 [doi]
LID - 374
AB  - Introduction: Recent studies show that health department accreditation from the 
      U.S. Public Health Accreditation Board (PHAB) drives performance management and 
      quality improvement. PHAB standards call for agencies to use evidence in decision 
      making. It is unknown whether accreditation is associated with organizational 
      supports for evidence-based decision making (EBDM). Self-report data from a 2017 
      survey of U.S. local health departments were analyzed to test relationships of 
      accreditation status with organizational supports for EBDM. Methods: A 
      cross-sectional survey was conducted in this observational study. A total of 579 
      local health departments were invited to complete an online survey; 350 (60.4%) 
      provided complete data for the present study. The dependent variables were six 
      factors of organizational supports for EBDM previously validated through 
      confirmatory factor analyses. Accreditation status (PHAB-accredited, preparing, 
      not preparing) was the independent variable of interest. Logistic regression 
      analyses controlled for governance (presence of a local board of health; state, 
      local, or shared state and local governance) and jurisdiction population size. 
      Results: PHAB-accredited health departments were more likely to report higher 
      capacity for EBDM, resource availability for EBDM, and evaluation capacity than 
      health departments that reported not yet preparing for accreditation. Health 
      departments that reported preparing for PHAB accreditation showed a 
      non-significant pattern of higher perceived supports for EBDM compared to 
      departments not preparing for accreditation. Conclusion: PHAB standards and the 
      accreditation process may help stimulate health department organizational 
      supports for EBDM.
CI  - Copyright (c) 2019 Allen, Mazzucca, Parks, Robinson, Tabak and Brownson.
FAU - Allen, Peg
AU  - Allen P
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
FAU - Mazzucca, Stephanie
AU  - Mazzucca S
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
FAU - Parks, Renee G
AU  - Parks RG
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
FAU - Robinson, Mackenzie
AU  - Robinson M
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
FAU - Tabak, Rachel G
AU  - Tabak RG
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
FAU - Brownson, Ross
AU  - Brownson R
AD  - Prevention Research Center, Brown School, Washington University in St. Louis, St. 
      Louis, MO, United States.
AD  - Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. 
      Louis, MO, United States.
AD  - Department of Surgery, Washington University School of Medicine in St. Louis, St. 
      Louis, MO, United States.
LA  - eng
GR  - P30 DK020579/DK/NIDDK NIH HHS/United States
GR  - R01 DK109913/DK/NIDDK NIH HHS/United States
PT  - Journal Article
DEP - 20191217
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
PMC - PMC6928116
OTO - NOTNLM
OT  - Governmental health departments
OT  - accreditation
OT  - evidence-based decision making
OT  - evidence-based public health
OT  - organization
EDAT- 2020/01/11 06:00
MHDA- 2020/01/11 06:01
PMCR- 2019/12/17
CRDT- 2020/01/11 06:00
PHST- 2019/09/19 00:00 [received]
PHST- 2019/11/22 00:00 [accepted]
PHST- 2020/01/11 06:00 [entrez]
PHST- 2020/01/11 06:00 [pubmed]
PHST- 2020/01/11 06:01 [medline]
PHST- 2019/12/17 00:00 [pmc-release]
AID - 10.3389/fpubh.2019.00374 [doi]
PST - epublish
SO  - Front Public Health. 2019 Dec 17;7:374. doi: 10.3389/fpubh.2019.00374. 
      eCollection 2019.