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Related Experiment Videos

Core function-related local public health practice effectiveness.

B J Turnock1, A S Handler, C A Miller

  • 1Division of Community Health Sciences, University of Illinois at Chicago, School of Public Health, USA.

Journal of Public Health Management and Practice : JPHMP
|August 5, 1998
PubMed
Summary

In 1995, the U.S. public health system fell short of its objective to have 90% of the population served by local health departments effectively performing core functions. Significant improvements are needed in public health capacity and performance.

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Area of Science:

  • Public Health Practice
  • Health Services Research

Background:

  • Public health is crucial for population well-being.
  • Assessing the effectiveness of public health services is vital for identifying gaps and guiding improvements.

Purpose of the Study:

  • To evaluate the U.S. population's effective service by public health's three core functions in 1995.
  • To determine the performance of local health departments (LHDs) against national objectives.

Main Methods:

  • A random sample of LHDs was surveyed.
  • Data collection included LHD opinions and performance on 20 core function measures.
  • Stratification by population size and jurisdiction type ensured representative sampling.

Main Results:

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  • In 1995, the U.S. public health system did not meet the year 2000 objective.
  • Far less than 90% of the population was effectively served by LHDs.
  • Performance on core public health functions was below national targets.

    • Conclusions:

    • The U.S. public health system requires substantial capacity building.
    • Performance improvement initiatives are necessary within the public health infrastructure.
    • Effective implementation of core public health functions remains a challenge.