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Identifying Priorities to Reverse a Statewide Relative Health Decline: Results From a Delphi Study in Kansas.

Kevin A Kovach1, Viktoria Sterkhova, Emma Uridge

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Journal of Public Health Management and Practice : JPHMP
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Summary
This summary is machine-generated.

Kansas

Keywords:
Delphi studypublic health policysocial determinants of healthstate health assessment

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Area of Science:

  • Public Health
  • Health Policy
  • Health Systems Research

Background:

  • Kansas faces a long-term population health decline compared to the United States.
  • Understanding system-level factors is crucial for addressing this trend.

Purpose of the Study:

  • Identify and prioritize system-level factors contributing to Kansas' population health decline.
  • Demonstrate the modified Delphi technique for state-level health assessment.

Main Methods:

  • A modified Delphi study engaged 50-67 Kansas health experts and leaders across three rounds.
  • Qualitative input and quantitative prioritization were used to identify and rank health system issues.
  • Constant sum resource allocation exercise prioritized key factors.

Main Results:

  • 52 factors contributing to Kansas' health decline were identified.
  • Top priorities include rural hospital closures, failure to expand Medicaid, limited mental health services, and low public health funding.
  • Identified issues are primarily system-level drivers, not individual behaviors.

Conclusions:

  • Kansas' declining health is driven by structural vulnerabilities in policies and infrastructure.
  • Targeted policy reforms are needed to strengthen system capacity and improve population health outcomes.