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Remote Work: How US State Practices Affect Rural Local Public Health.

Paula M Kett1, Kelly Chadwick1, Betty Bekemeier1

  • 1Paula M. Kett is with the Center for Health Workforce Studies in the Department of Family Medicine at the University of Washington School of Medicine, Seattle. Kelly Chadwick is with the Northwest Center for Public Health Practice (NWCPHP) at the University of Washington's School of Public Health in Seattle. Betty Bekemeier is with the NWCPHP and the University of Washington School of Nursing, Seattle.

American Journal of Public Health
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PubMed
Summary
This summary is machine-generated.

State health department remote work impacts rural local health departments

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Area of Science:

  • Public Health
  • Health Services Research
  • Rural Health

Background:

  • Remote work is increasingly prevalent in state health departments (SHDs).
  • Understanding the impact of SHD remote work on rural local health departments (LHDs) is crucial for effective public health delivery.
  • Rural LHDs face unique challenges that may be exacerbated by remote work policies.

Purpose of the Study:

  • To explore rural local health department leaders' perspectives on how state health department remote work affects rural public health efforts.
  • To analyze the prevalence of remote work and its impact on job satisfaction, retention, and turnover among SHD and LHD staff.

Main Methods:

  • Sequential mixed-methods study involving qualitative data from 14 rural LHD leaders.
  • Analysis of 2024 Public Health Workforce Interests and Needs Survey data.
  • Examination of remote work prevalence and differences in job satisfaction, retention, and turnover.

Main Results:

  • Rural LHD leaders reported impacts on staff retention and SHD staff accessibility/familiarity with rural needs.
  • Quantitative data showed higher remote work rates in SHDs compared to rural LHDs.
  • No significant differences were found in job satisfaction, retention, or turnover between remote and in-person staff.

Conclusions:

  • Remote work presents ongoing challenges and opportunities for public health organizations.
  • Improving remote work policy implementation can strengthen support for rural LHDs.
  • Further research is needed to optimize remote work strategies in public health.