检查公共卫生认证与COVID-19结果之间的关联
Mary V Davis1, Nikki Rider, Ammar A Rashied
1Author Affiliations: Center for Program Evaluation and Quality Improvement, Emory Centers for Public Health Training and Technical Assistance, Rollins School of Public Health, Emory University, Atlanta, Georgia (Drs Davis and Rider, and Mr Bhat); Department of Biostatistics and Bioinformatics, Rollins School of Public Health Emory University, Atlanta, Georgia (Mr Rashied); and Public Health Accreditation Board, Alexandria, Virginia (Mx. Lang).
当地卫生部门的认证与更高的COVID-19疫苗接种率和较低的死亡率有关. 认证没有显著影响住院率,但整体社区健康结果显示出积极的关联.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 当地卫生部门 (LHDs) 对社区健康至关重要.
- 认证是确保LHD符合标准的过程.
- 对于LHD认证对COVID-19结果的影响需要进行调查.
研究的目的:
- 检查LHD认证与COVID-19社区结果之间的关联.
- 关键结果包括成人疫苗接种,住院和死亡率.
- 该研究还考虑了其他因素的影响,例如COVID-19社区脆弱性指数 (CCVI).
主要方法:
- 分析了来自美国的县级数据.
- 数据包括成年人接种疫苗,住院和按LHD认证状态的死亡率.
- 使用层次线性混合建模来分析数据,考虑各种独立变量和重复观察.
主要成果:
- 认可的LHD与更高的成人COVID-19疫苗接种率有关 (P < .01).
- 在认可和未认可的LHD司法管辖区之间,没有观察到医院住院率的显著差异.
- 在拥有认证LHD的司法管辖区,死亡率明显较低 (P < .001).
结论:
- 经过LHD认证,社区健康状况得到改善,特别是疫苗接种率提高,死亡率降低.
- 诸如健康的社会决定因素,国家政策和治理结构等因素也对社区健康产生重大影响.
- 认证作为质量标记,并可能有助于更好的公共卫生响应.
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