Preventing Chronic Disease | Perceived Benefits and Challenges of Coordinated Approaches to Chronic Disease Prevention in State Health Departments - CDC
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Perceived Benefits and Challenges of Coordinated Approaches to Chronic Disease Prevention in State Health Departments
Peg Allen, PhD, MPH; Sonia Sequeira, MSW, MPH; Leslie Best; Ellen Jones, PhD, CHES; Elizabeth A. Baker, PhD, MPH; Ross C. Brownson, PhD
Suggested citation for this article: Allen P, Sequeira S, Best L, Jones E, Baker EA, Brownson RC. Perceived Benefits and Challenges of Coordinated Approaches to Chronic Disease Prevention in State Health Departments. Prev Chronic Dis 2014;11:130350. DOI:http://dx.doi.org/10.5888/pcd11.130350
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Abstract
Introduction
Chronic disease prevention efforts have historically been funded categorically according to disease or risk factor. Federal agencies are now progressively starting to fund combined programs to address common risk. The purpose of this study was to inform transitions to coordinated chronic disease prevention by learning views on perceived benefits and challenges of a coordinated approach to funding.
Chronic disease prevention efforts have historically been funded categorically according to disease or risk factor. Federal agencies are now progressively starting to fund combined programs to address common risk. The purpose of this study was to inform transitions to coordinated chronic disease prevention by learning views on perceived benefits and challenges of a coordinated approach to funding.
Methods
A national survey on evidence-based public health was conducted from March through May 2013 among state health department employees working in chronic disease prevention (N = 865). Participants were asked to rank the top 3 benefits and top 3 challenges in coordinating chronic disease approaches from provided lists and could provide additional responses. Descriptive analyses, χ2 tests, and analysis of variance were conducted.
A national survey on evidence-based public health was conducted from March through May 2013 among state health department employees working in chronic disease prevention (N = 865). Participants were asked to rank the top 3 benefits and top 3 challenges in coordinating chronic disease approaches from provided lists and could provide additional responses. Descriptive analyses, χ2 tests, and analysis of variance were conducted.
Results
The most common perceived benefits of coordinated approaches to chronic disease prevention were improved health outcomes, common risk factors better addressed, and reduced duplication of program efforts. The most common perceived challenges were funding restrictions, such as disease-specific performance measures; competing priorities; lack of communication across programs; funding might be reduced; agency not structured for program coordination; and loss of disease-specific partner support. Rankings of benefits and challenges were similar across states and participant roles; the perceived challenges “lack of communication across programs” (P = .02) and “funding might be reduced” differed by program area (P < .001).
The most common perceived benefits of coordinated approaches to chronic disease prevention were improved health outcomes, common risk factors better addressed, and reduced duplication of program efforts. The most common perceived challenges were funding restrictions, such as disease-specific performance measures; competing priorities; lack of communication across programs; funding might be reduced; agency not structured for program coordination; and loss of disease-specific partner support. Rankings of benefits and challenges were similar across states and participant roles; the perceived challenges “lack of communication across programs” (P = .02) and “funding might be reduced” differed by program area (P < .001).
Conclusion
Findings can be used by funding agencies and state health departments for planning, training, and technical assistance. The information on perceived challenges demonstrates the need to improve communication across programs, enhance organizational support for coordinated approaches, and create benefits for organizational partners.
Findings can be used by funding agencies and state health departments for planning, training, and technical assistance. The information on perceived challenges demonstrates the need to improve communication across programs, enhance organizational support for coordinated approaches, and create benefits for organizational partners.
Author Information
Corresponding Author: Peg Allen, PhD, MPH, Assistant Research Professor, Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, 621 Skinker Blvd, St. Louis, MO, 63130-4838. Telephone: 314-935-0116. E-mail: pallen@brownschool.wustl.edu.
Author Affiliations: Sonia Sequeira, Washington University in St. Louis, St. Louis, Missouri; Leslie Best, Pennsylvania Department of Health, Harrisburg, Pennsylvania; Ellen Jones, University of Mississippi Medical Center, Jackson, Mississippi; Elizabeth A. Baker, Saint Louis University, St. Louis, Missouri; Ross C. Brownson, Washington University in St. Louis and Washington University School of Medicine, St. Louis, Missouri.
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