PMID- 33208717
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20230929
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 27
IP  - 5
DP  - 2021 Sep-Oct 01
TI  - An Analysis of How Characteristics of Local Health Department Jurisdictions 
      Influence Involvement in PHAB Accreditation: Implications for Health Equity.
PG  - 449-458
LID - 10.1097/PHH.0000000000001248 [doi]
AB  - OBJECTIVE: To explore how characteristics of local health department (LHD) 
      jurisdictions impact involvement in Public Health Accreditation Board (PHAB) 
      accreditation and to characterize the implications for health equity. METHODS: 
      Data from the 2016 National Profile of LHDs survey were linked with data from the 
      American Community Survey, National Center for Health Statistics, Behavioral Risk 
      Factor Surveillance System, and the 2016 presidential election. Outcome measures 
      included LHDs that were formally engaged in PHAB accreditation and LHDs that 
      planned to apply for PHAB accreditation but were not formally engaged. Logistic 
      regression was used to assess for the impact LHD jurisdictions' socioeconomic 
      position, demographics, population health status, political ideology, and LHD 
      organizational characteristics have on PHAB accreditation. RESULTS: Approximately 
      37% of the participants were formally engaged (n = 297) and planned to apply (n = 
      337) for PHAB accreditation. Involvement in PHAB accreditation was equal among 
      LHDs based on poverty and income inequality, but median household income was 
      negatively associated. Diverse jurisdictions were more likely to be involved in 
      PHAB accreditation but less likely to be involved after controlling for 
      covariates. Jurisdictions with worse population health status were either as 
      likely or more likely to be involved in PHAB accreditation. Jurisdictions with a 
      greater conservative political ideology were less likely to be involved. 
      CONCLUSION: LHD involvement in PHAB accreditation varies by their jurisdiction's 
      characteristics. This has implications for health equity based on socioeconomic, 
      racial, and population health status. Policies and practices are needed to 
      improve the uptake of PHAB accreditation in LHD jurisdictions impacted most by 
      health inequities.
CI  - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Kovach, Kevin A
AU  - Kovach KA
AD  - Population and Community Health Department, American Academy of Family 
      Physicians, Leawood, Kansas (Dr Kovach); and Master of Public Health Program, 
      University of Kansas Medical Center, Kansas City, Kansas (Ms Lipnicky).
FAU - Lipnicky, Ashlyn
AU  - Lipnicky A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Accreditation
MH  - *Health Equity
MH  - Humans
MH  - Local Government
MH  - *Public Health
MH  - Public Health Administration
MH  - Quality Improvement
MH  - United States
COIS- The authors declare no conflicts of interest.
EDAT- 2020/11/20 06:00
MHDA- 2021/10/16 06:00
CRDT- 2020/11/19 05:34
PHST- 2020/11/20 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
PHST- 2020/11/19 05:34 [entrez]
AID - 00124784-202109000-00004 [pii]
AID - 10.1097/PHH.0000000000001248 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2021 Sep-Oct 01;27(5):449-458. doi: 
      10.1097/PHH.0000000000001248.