Declining Trends in local health department preparedness capacities

M.V. Davis, C.A. Bevc and A.P. Schenck

American Journal of Public Health, 2014, vol. 104, issue 11, 2233-2238

Abstract: Objectives. We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. Methods. We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups included LHDs that (1) were exposed to a North Carolina state-based accreditation program, (2) participated in 1 or more performance improvement programs, and (3) had not participated in any performance improvement programs. We analyzed mean domain preparedness scores and applied a series of nonparametric Mann-Whitney Wilcoxon tests to determine whether preparedness domain scores differed significantly between study groups from 2010 to 2012. Results. Preparedness capacity scores fluctuated and decreased significantly for all study groups for 2 domains: surveillance and investigation and legal preparedness. Significant decreases also occurred among participants for plans and protocols, communication, and incident command. Declines in capacity scores were not as great and less likely to be significant among North Carolina LHDs. Conclusions. Decreases in preparedness capacities over the 3 survey years may reflect multiple years of funding cuts and job losses, specifically for preparedness. An accreditation program may have a protective effect against such contextual factors. © 2014, American Public Health Association Inc. All rights reserved.

Keywords: civil defense; disaster planning; government; human; information processing; organization and management; public health service; statistics and numerical data; surge capacity; trends; United States, Civil Defense; Data Collection; Disaster Planning; Humans; Local Government; Public Health Administration; Surge Capacity; United States (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302159_5

DOI: 10.2105/AJPH.2014.302159

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