Time to Modernize: Local Public Health Transitions to Population-Level Interventions

Abstract

Objectives: To identify facilitating factors that guide local health departments (LHDs) in their transition from direct clinical service provision to population-level interventions addressing the social determinants of health. Design: Key informant interviews with LHD leaders and their staff were conducted using a semistructured interview guide. Thematic qualitative analysis was used to identify common characteristics and strategies among the LHD leaders and staff. Participants: LHDs represented both rural and urban communities with population sizes from 9746 to 919 628 and agencies in Illinois,

Grouping Public Health Skills to Facilitate Workforce Development: A Factor Analysis of PH WINS

“…Combining both data use training sessions and cultural humility training sessions could be a more efficient path for local public health systems to address health disparities while integrating data into the process. 20,32,45,46 Combining training sessions could also reduce the overall amount of training required of public health staff. Innovations such as dashboards and surveillance efforts that have increased data availability have recently offered opportunity to improve SDOH decision making in LHDs.…”

“…This is also supported by the CDC's Office of Minority Health and Health Equity (OMHHE) framework that organizes public health practice into 4 domains, one of which is the development and maintenance of public health infrastructure including workforce skills, data systems—including “health equity variables”46 (p423) —and community and multisector partnerships. This domain is also emphasized in the CDC's Public Health 3.0 framework,14 as well as in semistructured interviews with LHD leaders on facilitating factors that guide LHDs in transitioning from direct clinical service provisions to population-level interventions 45. In these frameworks and studies, community collaboration is described as engaging organizations in intervention development and implementation, surveying community members on their satisfaction with programs, and maintaining relationships with policy makers or boards of health, for example.…”

Involvement of Local Health Departments in Obesity Prevention: A Scoping Review

“…The Public Health 3.0 framework also indicates that “timely, reliable, granular-level (ie, subcounty), and actionable data should be made accessible to communities”25 (p4) for targeting SDOH and to build health equity. LHDs are increasingly using Public Health 3.0 as a means for driving their agency's approach to health equity, systems change, and population health improvement in their jurisdictions 26,27…”

“…LHDs are increasingly using Public Health 3.0 as a means for driving their agency's approach to health equity, systems change, and population health improvement in their jurisdictions. 26,27 The first (A.P.) and second (B.B.)…”

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“…Ultimately, we need to build and diversify the public health workforce for the current chronic threats we face and the emerging challenges we will inevitably face. 2 There is no way back to the reality we left behind, and the future we create depends on the choices we make today.…”