Laying the groundwork for evidence-based public health: why some local health departments use more evidence-based decision-making practices than others

We examined variation in the use of evidence-based decision-making (EBDM) practices across local health departments (LHDs) in the United States and the extent to which this variation was predicted by resources, personnel, and governance. We analyzed data from the National Association of County and C...

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Bibliographic Details
Published in:American journal of public health (1971) 2015-04, Vol.105 Suppl 2 (S2), p.S189-S197
Main Authors: Lovelace, Kay A, Aronson, Robert E, Rulison, Kelly L, Labban, Jeffrey D, Shah, Gulzar H, Smith, Mark
Format: Article
Language:English
Subjects:
Budgets
Cooperative Behavior
Decision Making
Departments
Epidemiology
Evidence-Based Practice
Framing Health Matters
Funding
Government
Health Administration
Health disparities
Health Policy
Health services
Health surveillance
Humans
Local Government
Other Health Financing
Personal health
Population
Public health
Public Health Administration
Public Health Practice
Public Health Practice - economics
Public Health Practice - statistics & numerical data
Public Health Workers
Residence Characteristics
Socioeconomic Factors
Systems Analysis
United States
Variables
Workforce
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Summary:We examined variation in the use of evidence-based decision-making (EBDM) practices across local health departments (LHDs) in the United States and the extent to which this variation was predicted by resources, personnel, and governance. We analyzed data from the National Association of County and City Health Officials Profile of Local Health Departments, the Association of State and Territorial Health Officials State Health Departments Profile, and the US Census using 2-level multilevel regression models. We found more workforce predictors than resource predictors. Thus, although resources are related to LHDs' use of EBDM practices, the way resources are used (e.g., the types and qualifications of personnel hired) may be more important.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2014.302306