Preventing Chronic Disease | Health Care System Collaboration to Address Chronic Diseases: A Nationwide Snapshot From State Public Health Practitioners - CDC
Health Care System Collaboration to Address Chronic Diseases: A Nationwide Snapshot From State Public Health Practitioners
Lindsay Elliott, BA; Timothy D. McBride, PhD; Peg Allen, PhD, MPH; Rebekah R. Jacob, MSW/MPH; Ellen Jones, PhD, CHES; Jon Kerner, PhD; Ross C. Brownson, PhD
Suggested citation for this article: Elliott L, McBride TD, Allen P, Jacob RR, Jones E, Kerner J, et al. Health Care System Collaboration to Address Chronic Diseases: A Nationwide Snapshot From State Public Health Practitioners. Prev Chronic Dis 2014;11:140075. DOI:http://dx.doi.org/10.5888/pcd11.140075
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.PEER REVIEWED
Abstract
Introduction
Until recently, health care systems in the United States often lacked a unified approach to prevent and manage chronic disease. Recent efforts have been made to close this gap through various calls for increased collaboration between public health and health care systems to better coordinate provision of services and programs. Currently, the extent to which the public health workforce has responded is relatively unknown. The objective of this study is to explore health care system collaboration efforts and activities among a population-based sample of state public health practitioners.
Until recently, health care systems in the United States often lacked a unified approach to prevent and manage chronic disease. Recent efforts have been made to close this gap through various calls for increased collaboration between public health and health care systems to better coordinate provision of services and programs. Currently, the extent to which the public health workforce has responded is relatively unknown. The objective of this study is to explore health care system collaboration efforts and activities among a population-based sample of state public health practitioners.
Methods
During spring 2013, a national survey was administered to state-level chronic disease public health practitioners. Respondents were asked to indicate whether or not they collaborate with health care systems. Those who reported “yes” were asked to indicate all topic areas in which they collaborate and provide qualitative examples of their collaborative work.
During spring 2013, a national survey was administered to state-level chronic disease public health practitioners. Respondents were asked to indicate whether or not they collaborate with health care systems. Those who reported “yes” were asked to indicate all topic areas in which they collaborate and provide qualitative examples of their collaborative work.
Results
A total of 759 respondents (84%) reported collaboration. Common topics of collaboration activities were tobacco, cardiovascular health, and cancer screening. More client-oriented interventions than system-wide interventions were found in the qualitative examples provided. Respondents who collaborated were also more likely to use the Community Guide, use evidence-based decision making, and work in program areas that involved secondary, rather than primary, prevention.
A total of 759 respondents (84%) reported collaboration. Common topics of collaboration activities were tobacco, cardiovascular health, and cancer screening. More client-oriented interventions than system-wide interventions were found in the qualitative examples provided. Respondents who collaborated were also more likely to use the Community Guide, use evidence-based decision making, and work in program areas that involved secondary, rather than primary, prevention.
Conclusion
The study findings indicate a need for greater guidance on collaboration efforts that involve system-wide and cross-system interventions. Tools such as the Community Guide and evidence-based training courses may be useful in providing such guidance.
The study findings indicate a need for greater guidance on collaboration efforts that involve system-wide and cross-system interventions. Tools such as the Community Guide and evidence-based training courses may be useful in providing such guidance.
Acknowledgments
This study was funded by the National Cancer Institute of the National Institutes of Health (NIH) under award no. R01CA160327. This article is a product of a Prevention Research Center and was also supported by cooperative agreement no. U48/DP001903 from CDC. The findings and conclusions in this article are those of the authors and do not necessarily represent the official positions of NIH or CDC.
We appreciate the collaboration on this study with Vicki Benard, PhD, and Marcus Plescia, MD, MPH, at the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. We thank John W. Robitscher, MPH, National Association of Chronic Disease Directors, for his support of this study. We thank Leslie Best, consultant and retired chronic disease director, Pennsylvania Department of Health, for her perspectives on survey revisions and CDC initiatives. We are grateful to colleagues at the Prevention Research Center in St Louis, which is co-housed at the Brown School, Washington University in St Louis and College of Public Health and Social Justice, St Louis University: Jenine K. Harris, PhD, Katherine A. Stamatakis, PhD, MPH, and Elizabeth A. Baker, PhD, MPH, for their survey development expertise; Sonia Sequeira, MSW/MPH for her help with data collection and management while a graduate research assistant; and Linda Dix and Mary Adams for administrative support.
Author Information
Corresponding Author: Lindsay Elliott, BA, Graduate Research Assistant, Prevention Research Center in St Louis, Brown School, Washington University in St Louis, 621 Skinker Blvd, St Louis, MO 63130-4838. Telephone: 314-935-0121. E-mail: lindsayelliott@brownschool.wustl.edu.
Author Affiliations: Timothy D. McBride, Peg Allen, Rebekah Jacob, Ross C. Brownson, Brown School, Washington University in St Louis, St Louis, Missouri; Ellen Jones, University of Mississippi Medical Center, Jackson, Mississippi; Jon Kerner, Canadian Partnership Against Cancer, Toronto, Ontario.
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