Evaluating Community-Based Health Improvement Programs
| Autor: | Sayeh Nikpay, Melinda Beeuwkes Buntin, Erika T. A. Leslie, Carrie E. Fry |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Health improvement Process (engineering) Health Promotion Article Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Community Health Services 030212 general & internal medicine Social determinants of health Child Aged Community based 030505 public health business.industry Health Policy Public health Infant Newborn Infant Middle Aged Public relations Quality Improvement Child Preschool 0305 other medical science business Delivery of Health Care |
| Zdroj: | Health Affairs. 37:22-29 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | Increasingly, public and private resources are being dedicated to community-based health improvement programs. But evaluations of these programs typically rely on data about process and a pre-post study design without a comparison community. To better determine the association between the implementation of community-based health improvement programs and county-level health outcomes, we used publicly available data for the period 2002–06 to create a propensity-weighted set of controls for conducting multiple regression analyses. We found that the implementation of community-based health improvement programs was associated with a decrease of less than 0.15 percent in the rate of obesity, an even smaller decrease in the proportion of people reporting being in poor or fair health, and a smaller increase in the rate of smoking. None of these changes was significant. Additionally, program counties tended to have younger residents and higher rates of poverty and unemployment than nonprogram counties. These differences could be driving forces behind program implementation. To better evaluate health improvement programs, funders should provide guidance and expertise in measurement, data collection, and analytic strategies at the beginning of program implementation. |
| Databáze: | OpenAIRE |
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