Factors Affecting Implementation of Evidence-Based Practices in Public Health Preparedness and Response
| Autor: | Erin Vinoski Thomas, Mallory Kennedy, Michael Meit, Deborah Backman, John D Henson, Alexa Siegfried, Jackie Sheridan, Eric G. Carbone |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Context (language use) Article law.invention 03 medical and health sciences 0302 clinical medicine law Surveys and Questionnaires Agency (sociology) medicine Humans 030212 general & internal medicine Medical education 030505 public health Emergency management business.industry Health Policy Public health Public Health Environmental and Occupational Health Civil Defense United States Leadership Incentive Evidence-Based Practice Preparedness CLARITY Public Health Business 0305 other medical science |
| Zdroj: | J Public Health Manag Pract |
| ISSN: | 1078-4659 |
| DOI: | 10.1097/phh.0000000000001178 |
| Popis: | Context There is limited research on what factors are most salient to implementation of evidence-based practices (EBPs) among public health agencies in public health emergency preparedness and response (PHPR) and under what conditions EBP implementation will occur. Objective This study assessed the conditions, barriers, and enablers affecting EBP implementation among the PHPR practice community and identified opportunities to support EBP implementation. Design A Web-based survey gathered information from public health agencies. Data obtained from 228 participating agencies were analyzed. Setting State, local, and territorial public health agencies across the United States. Participants Preparedness program officials from 228 public health agencies in the United States, including Public Health Emergency Preparedness (PHEP) cooperative agreement awardees (PHEP awardees) and a random sample of local health departments (LHDs). Results Respondents indicated that EBP is necessary and improves PHPR functions and tasks and that staff are interested in improving skills for EBP implementation. Top system-level barriers to EBP implementation were insufficient funding, lack of EBP, and lack of clarity regarding which practices are evidence based. PHEP awardees were significantly more likely to report a lack of EBP in the field, whereas LHDs were significantly more likely to report a lack of incentives. The top organizational-level barrier was insufficient staff. Most respondents indicated their agency culture supports EBP; however, LHDs were significantly more likely to report a lack of support from supervisors and leadership. Few respondents reported individual barriers to EBP implementation. Conclusions Findings indicate an opportunity to improve dissemination strategies, communication efforts, and incentives to support EBP implementation in PHPR. Potential strategies include improving awareness of and accessibility to EBPs through targeted dissemination efforts; building organizational capacity to support EBP implementation, particularly staff capacity, knowledge, and skills; and identifying funding and incentives to promote EBP uptake and sustainment. |
| Databáze: | OpenAIRE |
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