Document Detail

Measuring the authority of local public health directors in the context of organizational structure: an exploratory, multimodal approach.
MedLine Citation:
PMID:  23023279     Owner:  NLM     Status:  In-Data-Review    
CONTEXT: : Studies have reported a relationship between the organization of public health services and variability in public health practice at the local and state levels. A national research agenda has prioritized practice-based research to understand pathways that lead to this variation and examine the impact of these differences on outcomes.
OBJECTIVES: : To measure the extent to which Minnesota local health directors report having key authorities and examine the relationship between organizational structure and authority of local health directors.
DESIGN: : Multimodal.
SETTING: : Minnesota local health departments.
PARTICIPANTS: : Directors of Minnesota local health departments.
MAIN OUTCOME MEASURE(S): : Director authorities.
RESULTS: : Most Minnesota local health directors reported having 6 key authorities related to budget preparation and modification and interaction with local elected officials (n = 51, 71%). Twelve directors (16%) reported that they have 4 or fewer of the 6 authorities. The authority most commonly reported as lacking was the authority to initiate communication with locally elected officials (n = 15, 21%). The percentage of directors who reported having all 6 authorities was higher among those in stand-alone departments (82%) than those in combined organizations (50%).
CONCLUSIONS: : This descriptive study illustrates that emerging practice-based research networks can successfully collaborate on small-scale research projects with immediate application for systems development. Study findings are being used by local public health officials to help articulate their role, aid in succession planning, and inform elected officials, who need to consider the public health implications of potential changes to local public health governance and organization. More studies are needed to refine measurement of authority and structure.
Kimberly J Miner Gearin; Allison M Rick Thrash; Renee Frauendienst; Julie Myhre; M Elizabeth Gyllstrom; William J Riley; Janelle Schroeder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  18     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  545-50     Citation Subset:  T    
Office of Performance Improvement, Minnesota Department of Health, St. Paul (Drs Miner Gearin and Gyllstrom and Ms Rick Thrash); Stearns County Department of Human Services, St. Cloud, Minnesota, (Ms Frauendienst); Carlton-Cook-Lake-St. Louis Community Health Board, Duluth, Minnesota (Ms Myhre); School of Public Health, University of Minnesota, Minneapolis (Dr Riley); Mille Lacs County Community and Veterans Services, Milaca, Minnesota (Ms Schroeder).
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