PMID- 33351657
OWN - NLM
STAT- MEDLINE
DCOM- 20210210
LR  - 20230202
IS  - 1541-0048 (Electronic)
IS  - 0090-0036 (Print)
IS  - 0090-0036 (Linking)
VI  - 111
IP  - 2
DP  - 2021 Feb
TI  - Application for Public Health Accreditation Among US Local Health Departments in 
      2013 to 2019: Impact of Service and Activity Mix.
PG  - 301-308
LID - 10.2105/AJPH.2020.306007 [doi]
AB  - Objectives. To examine correlates of applying for accreditation among small local 
      health departments (LHDs) in the United States through 2019.Methods. We used 
      administrative data from the Public Health Accreditation Board (PHAB) and 2013, 
      2016, and 2019 Profile data from the National Association of County and City 
      Health Officials to examine correlates of applying for PHAB accreditation. We fit 
      a latent class analysis (LCA) to characterize LHDs by service mix and size. We 
      made bivariate comparisons using the t test and Pearson chi(2).Results. By the end 
      of 2019, 126 small LHDs had applied for accreditation (8%). When we compared 
      reasons for not pursuing accreditation, we observed a difference by size for 
      perceptions that standards exceeded LHD capacity (47% for small vs 22% for 
      midsized [P < .001] and 0% for large [P < .001]).Conclusions. Greater funding 
      support, considering differing standards by LHD size, and recognition that 
      service mix might affect practicality of accreditation are all relevant 
      considerations in attempting to increase uptake of accreditation for small 
      LHDs.Public Health Implications. Overall, small LHDs represented about 60% of all 
      LHDs that had not yet applied to PHAB.
FAU - Leider, Jonathon P
AU  - Leider JP
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Kronstadt, Jessica
AU  - Kronstadt J
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Yeager, Valerie A
AU  - Yeager VA
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Hall, Kellie
AU  - Hall K
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Saari, Chelsey K
AU  - Saari CK
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Alford, Aaron
AU  - Alford A
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Freeman, Lori Tremmel
AU  - Freeman LT
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
FAU - Kuehnert, Paul
AU  - Kuehnert P
AD  - Jonathon P. Leider is with the Division of Health Policy and Management, 
      University of Minnesota School of Public Health, Minneapolis, MN. Jessica 
      Kronstadt, Chelsey K. Saari, and Paul Kuehnert are with the Public Health 
      Accreditation Board (PHAB), Alexandria, VA. Valerie A. Yeager is with the 
      Department of Health Policy and Management at the Indiana University Richard M. 
      Fairbanks School of Public Health, Indianapolis, IN. Kellie Hall, Aaron Alford, 
      and Lori Tremmel Freeman are with the National Association of County and City 
      Health Officials (NACCHO), Washington, DC.
LA  - eng
PT  - Journal Article
DEP - 20201222
PL  - United States
TA  - Am J Public Health
JT  - American journal of public health
JID - 1254074
SB  - IM
CIN - Am J Public Health. 2021 Feb;111(2):183-184. PMID: 33439711
MH  - Accreditation/*statistics & numerical data
MH  - Community Health Centers/standards/*statistics & numerical data
MH  - Humans
MH  - *Local Government
MH  - Public Health Administration/*statistics & numerical data
MH  - United States
PMC - PMC7811080
EDAT- 2020/12/23 06:00
MHDA- 2021/02/11 06:00
PMCR- 2023/02/01
CRDT- 2020/12/22 17:11
PHST- 2020/12/23 06:00 [pubmed]
PHST- 2021/02/11 06:00 [medline]
PHST- 2020/12/22 17:11 [entrez]
PHST- 2023/02/01 00:00 [pmc-release]
AID - 202032108 [pii]
AID - 10.2105/AJPH.2020.306007 [doi]
PST - ppublish
SO  - Am J Public Health. 2021 Feb;111(2):301-308. doi: 10.2105/AJPH.2020.306007. Epub 
      2020 Dec 22.