A Case Study Examination of Structure and Function in a State Health Department Chronic Disease Unit
Bibliographic Data
| ID | 11022935 |
|---|---|
| Authors | Jeanne Alongi (0000-0002-9257-9982, At the time of this study, Jeanne Alongi was with the Gillings School of Global Public Health, University of North Carolina at Chapel Hill., corresponding author) |
| Year | 2015 |
| Volume | 105 |
| Issue | S2 |
| Pages | e15-e22 |
| Publication date | 2015-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.2014.302354 |
| PMID | 25689211 |
| PMCID | PMC4355693 |
| OpenAlex | W1990917526 |
| Language | EN |
| References cited | 17 |
Objectives. I explored the structural and operational practices of the chronic disease prevention and control unit of a state health department and proposed a conceptual model of structure, function, and effectiveness for future study. Methods. My exploratory case study examined 7 elements of organizational structure and practice. My interviews with staff and external stakeholders of a single chronic disease unit yielded quantitative and qualitative data that I coded by perspective, process, relationship, and activity. I analyzed these for patterns and emerging themes. Results. Chi-square analysis revealed significant correlations among collaboration with goal ambiguity, political support, and responsiveness, and evidence-based decisions with goal ambiguity and responsiveness. Conclusions. Although my study design did not permit conclusions about causality, my findings suggested that some elements of the model might facilitate effectiveness for chronic disease units and should be studied further. My findings might have important implications for identifying levers around which capacity can be built that may strengthen effectiveness
Ambiguity · Causality (physics) · Chronic disease · Disease · Exploratory research · Family medicine · Function (biology) · Health department · Organizational structure · Pathology · Perspective (graphical) · Political science · Public health · Sociology · Unit (ring theory) · Applied Psychology · Community Health and Development · Computer Science · Health Policy Implementation Science · Medicine · Nursing · Psychology · Public Health Policies and Education · Social Psychology · Gerontology
Evidence-Based Public Health
Research design
Structure and Functions of State Public Health Agencies
Institutional and Economic Determinants of Public Health System Performance
The Association of Changes in Local Health Department Resources With Changes in State-Level Health Outcomes
The Benefits of Bureaucracy
Qualitative Data Analysis
| Highly cited | No |
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