Abstract:
OBJECTIVES:We conducted case studies of 10 agencies that participated in early quality improvement efforts. METHODS:The agencies participated in a project conducted by the National Association of County and City Health Officials (2007-2008). Case study participants included health directors and quality improvement team leaders and members. We implemented multiple qualitative analysis processes, including cross-case analysis and logic modeling. We categorized agencies according to the extent to which they had developed a quality improvement culture. RESULTS:Agencies were conducting informal quality improvement projects (n = 4), conducting formal quality improvement projects (n = 3), or creating a quality improvement culture (n = 4). Agencies conducting formal quality improvement and creating a quality improvement culture had leadership support for quality improvement, participated in national quality improvement initiatives, had a greater number of staff trained in quality improvement and quality improvement teams that met regularly with decision-making authority. Agencies conducting informal quality improvement were likely to report that accreditation is the major driver for quality improvement work. Agencies creating a quality improvement culture were more likely to have a history of evidence-based decision-making and use quality improvement to address emerging issues. CONCLUSIONS:Our findings support previous research and add the roles of national public health accreditation and emerging issues as factors in agencies' ability to create and sustain a quality improvement culture.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Davis MV,Mahanna E,Joly B,Zelek M,Riley W,Verma P,Fisher JSdoi
10.2105/AJPH.2013.301413subject
Has Abstractpub_date
2014-01-01 00:00:00pages
e98-104issue
1eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章abstract:OBJECTIVES:This study investigated the associations of smoking, excess alcohol consumption, and physical inactivity with the use of hospital care. METHODS:A cohort of 19- to 63-year-old Finnish men (n = 2534) and women (n = 2668) were followed prospectively for 16 years. Number of hospital days was extracted from the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.5.691
更新日期:1999-05-01 00:00:00
abstract::An epidemic of morbidity and mortality has swept across the United States related to the use of prescription opioids for chronic noncancer pain. More than 100,000 people have died from unintentional overdose, making this one of the worst manmade epidemics in history. Much of health care delivery in the United States i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302367
更新日期:2015-03-01 00:00:00
abstract::In 1999, a cluster of encephalitis cases was detected in New York City. The city applied larvicide to standing water and aerially sprayed pesticides to control adult mosquitoes. The causative agent was West Nile virus, a type of encephalitis that had never before been transmitted in the western hemisphere. This experi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.8.1218
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:We evaluated a low-cost strategy for schools to improve the convenience and appeal of drinking water. METHODS:We conducted a group-randomized, controlled trial in 10 Boston, Massachusetts, schools in April through June 2013 to test a cafeteria-based intervention. Signage promoting water and disposable cups ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2015.302645
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:The common operation of fuel-powered resurfacing equipment in enclosed ice skating rinks has the potential for producing high concentrations of carbon monoxide and nitrogen dioxide. Exposures to these gaseous combustion products may adversely affect the health of those inside the rink. Little information is ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.429
更新日期:1994-03-01 00:00:00
abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.33
更新日期:1990-01-01 00:00:00
abstract::Approximately 90,000 inmates are admitted annually to the New York City jail system, many of whom require a high level of medical or mental health services. According to our analysis of deaths in custody from 2001 to 2009, crude death rates have dropped significantly despite the increasing age of the population. Falli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301042
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:We determined the sustainability of effects of a school-based intervention to improve health behaviors and cardiovascular risk factors among middle school children. METHODS:We administered a questionnaire and health screenings to 5 schools in Ann Arbor and 2 schools in Ypsilanti, Michigan. We assessed demog...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302835
更新日期:2015-12-01 00:00:00
abstract::Utilizing data from a field study of psychiatric disorder, the study examined sex differences in patterns of response to interviewers in contrasting status positions. The dependent variables in the analysis were mean scores on nosological scales measuring three dimensions of symptomotology identified in a factor analy...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.69.5.485
更新日期:1979-05-01 00:00:00
abstract::Selected characteristics and total medical claims of health risk appraisal (HRA) responders and non-responders were compared in a sample of employees having a three-year employment and claims history. HRA responders were younger and more likely to file medical claims than non-responders. Although mean medical claims w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.7.887
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between recency of immigration, substance use, and sexual behavior. METHODS:Surveys were conducted with 2635 Massachusetts 8th and 10th graders that allowed comparisons of health behaviors and risk and protective factors among students living in the United States "alway...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.5.794
更新日期:2001-05-01 00:00:00
abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS:Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.3.398
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Little population-based information is available on the use of chiropractic services. METHODS:We analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.439
更新日期:1991-04-01 00:00:00
abstract::Family physicians in the State of Washington were surveyed about their knowledge and views about chiropractors; 79 per cent (476) responded. Sixty-six per cent indicated discomfort with what they believed chiropractors do while acknowledging their effectiveness for some patients; 25 per cent viewed chiropractors as an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.5.636
更新日期:1989-05-01 00:00:00
abstract::We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析,评审
doi:10.2105/AJPH.2012.301153
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We studied whether 5 regulatory agency advisories concerning the possible increased risk of suicidal behavior during antidepressant therapy had an effect on antidepressant prescription trends in Ontario. METHODS:We conducted a population-based, time-series analysis of new monthly antidepressant prescription...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087262
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVES:We evaluated whether the decline of the racial disparity in preterm birth during the last decade was commensurate with a decline in the contribution of preterm birth to the infant mortality gap. METHODS:We used linked files of 1990 and 2000 data on US infant births and deaths to partition the gap between Bl...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.093708
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:This study examined the impact of French routine programs urging the combined measles-mumps-rubella immunization of 15-month-old children. METHODS:We applied a cohort analysis to surveillance data collected by general practitioners to estimate the cumulative incidence rate per 1000 unvaccinated children and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.1.79
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:This study evaluated the efficacy of radiographic screening for tuberculosis in correctional facilities. METHODS:Inmates at an admission facility in New York, NY, were screened for tuberculosis by registry cross-match, symptom interviews, tuberculin testing, and chest radiography. RESULTS:Thirty-two cases ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.8.1335
更新日期:1997-08-01 00:00:00
abstract::Family allowances designed to promote maternal and child health and welfare could be self-defeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in 1969--1970 through intervie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.10.989
更新日期:1978-10-01 00:00:00
abstract:OBJECTIVES:This study evaluated the association of physical activity with serum lipoprotein(a) [La(a)] levels in individuals according to whether they had a family history of coronary heart disease (CHD). METHODS:Lp(a) levels in 332 healthy Spanish men aged 20 to 60 years were measured. Physical activity and family hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.383
更新日期:1999-03-01 00:00:00
abstract::The Occupational Safety and Health Act of 1970 (OSHAct) declared that every worker is entitled to safe and healthful working conditions, and that employers are responsible for work being free from all recognized hazards. Thirty-eight years after these assurances, however, it is difficult to find anyone who believes th...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2007.117382
更新日期:2008-03-01 00:00:00
abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::Social work education plays a critical role in preparing social workers to lead efforts that improve health. Because of the dynamic health care landscape, schools of social work must educate students to facilitate health care system improvements, enhance population health, and reduce medical costs. We reviewed the exi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304054
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVES:To evaluate trends in rates of personal belief exemptions (PBEs) to immunization requirements for private kindergartens in California that practice alternative educational methods. METHODS:We used California Department of Public Health data on kindergarten PBE rates from 2000 to 2014 to compare annual avera...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303498
更新日期:2017-01-01 00:00:00
abstract::In May 1983, an estimated 865 cases of epidemic gastrointestinal disease occurred in Greenville, Florida. Surveillance of pharmacy sales of antidiarrheal medicines suggested that the outbreak was confined to Greenville and its immediate vicinity. Surveys demonstrated that the gastrointestinal illness attack rates insi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.4.424
更新日期:1986-04-01 00:00:00
abstract::Today, our understanding of and approach to the exogenous causes of cancer are dominated by epidemiological practices that came into widespread use after World War II. This paper examines the forces, considerations, and controversies that shaped postwar risk factor epidemiology in the United States. It is argued that,...
journal_title:American journal of public health
pub_type: 传,历史文章,杂志文章
doi:10.2105/ajph.87.11.1824
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:The association between the timing of discussions about condoms between mother and adolescent and adolescents' condom use during their first and subsequent sexual encounters was examined. METHODS:Sexually active adolescents reported whether and when they discussed condoms with their mother and answered ques...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.10.1542
更新日期:1998-10-01 00:00:00