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Control of the Public Health IT Physical Infrastructure: Findings From the 2015 Informatics Capacity and Needs
Kelley Chester1, Barbara L Massoudi, Gulzar H Shah
1C3 Informatics, LLC, Milton, Georgia (Dr Chester); eHealth, Quality Measurement and Health Data Analytics Division, RTI International, Atlanta, Georgia (Dr Massoudi); and Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia (Dr Shah).
Journal of Public Health Management and Practice : JPHMP
|September 30, 2016
Summary
Local health departments often lack control over their physical infrastructure, with governance structures significantly impacting this control. Understanding these relationships is key to improving IT adoption in public health.
Area of Science:
- Public Health Informatics
- Health Services Research
- Information Technology Management
Background:
- Information technology (IT) infrastructure in public health has improved, yet adoption in state and local health departments remains suboptimal.
- Understanding the influence of governance and control structures on physical infrastructure is crucial for enhancing IT adoption.
Purpose of the Study:
- To assess the current state of physical infrastructure control within local health departments (LHDs).
- To determine if LHD governance status is significantly associated with control over physical infrastructure components.
Main Methods:
- Utilized data from the 2015 Informatics Capacity and Needs Assessment Survey.
- Survey included 324 LHDs across all 50 states, achieving a 50% response rate.
- Analyzed the relationship between LHD governance category and control of physical infrastructure components.
Main Results:
- Most physical infrastructure components in LHDs are controlled by external entities.
- LHD governance structure type demonstrated a significant association with infrastructure control.
Conclusions:
- Further research is necessary to establish best practices for IT governance and physical infrastructure control in public health settings.
- Findings highlight the importance of governance in optimizing IT infrastructure management within LHDs.
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