Accredited Public Health Department Characteristics Associated With Workforce Gaps Identified in Workforce Development Plans.
Journal
Journal of public health management and practice : JPHMP
ISSN: 1550-5022
Titre abrégé: J Public Health Manag Pract
Pays: United States
ID NLM: 9505213
Informations de publication
Date de publication:
12 Sep 2024
12 Sep 2024
Historique:
medline:
12
9
2024
pubmed:
12
9
2024
entrez:
12
9
2024
Statut:
aheadofprint
Résumé
When pursuing accreditation by the Public Health Accreditation Board, local health departments (LHDs) must submit a workforce development plan (WDP). The purpose of this study was to examine LHD characteristics associated with workforce gaps identified and strategies implemented by LHDs. We conducted a qualitative content analysis of all WDPs submitted to the Public Health Accreditation Board between March 2016 and November 2021. We examined WDPs from all accredited LHDs (n = 183) at the time of data collection in January 2022. A majority of LHDs had more than 50 staff members (n = 106, 57.9%), had a decentralized governance structure (n = 164, 89.6%), had county-level jurisdictions (n = 99, 54.1%), and served rural populations (n = 146, 79.8%). For each overarching theme, we constructed 2 binary variables indicating whether the LHD identified a workforce gap or strategy among any subthemes within each overarching theme. Logistic regressions were used to examine relationships between LHD characteristics and identification of a workforce gap or strategy for each theme. Few LHD characteristics were significantly associated with gaps identified or strategies implemented by LHDs. LHDs applying for reaccreditation had higher odds (adjusted odds ratio [AOR], 2.44; confidence interval [CI], 1.04-5.83) of identifying a leadership gap and of identifying a recruitment gap (AOR, 2.94; CI, 1.11-7.52) compared to LHDs applying for accreditation for the first time. LHDs serving urban populations had higher odds (AOR, 2.83; CI, 1.32-6.25) of identifying a recruitment strategy compared to LHDs that only served suburban/rural populations. Overall, many workforce gaps reported by LHDs were universally observed irrespective of LHD characteristics. While most LHDs identified strategies to address gaps, our findings also reveal workforce areas where LHDs reported gaps without an accompanying strategy, indicating areas where LHDs could use more technical assistance and support.
Identifiants
pubmed: 39264766
doi: 10.1097/PHH.0000000000002046
pii: 00124784-990000000-00359
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Public Health Accreditation Board. https://phaboard.org/ Accessed November 27, 2023.
Yeager VA, Wharton MK, Beitsch LM. Maintaining a competent public health workforce: lessons learned from experiences with public health accreditation domain 8 standards and measures. J Public Health Manag Pract. 2020;26(1):57-66.
Bender K, Benjamin G, Carden J, et al. Final recommendations for a voluntary national accreditation program for state and local health departments: Steering Committee report. J Public Health Manag Pract. 2007;13(4):342-348.
Bender K, Kronstadt J, Wilcox R, Lee TP. Overview of the Public Health Accreditation Board. J Public Health Manag Pract. 2014;20(1):4-6.
Ingram RC, Bender K, Wilcox R, Kronstadt J. A consensus-based approach to national public health accreditation. J Public Health Manag Pract. 2014;20(1):9-13.
Yeager VA, Burns AB, Lang B, et al. What are public health agencies planning for workforce development? A content analysis of workforce development plans of accredited public health departments. J Public Health Manag Pract. 2023;29(6):762-774.
de Beaumont Foundation PHNCI. Staffing Up: Workforce Levels Needed to Provide Basic Public Health Services for All Americans. Bethesda, MD: de Beaumont Foundation; 2021.
Leider JP, Yeager VA, Kirkland C, Krasna H, Hare Bork R, Resnick B. The state of the US public health workforce: ongoing challenges and future directions. Annu Rev Public Health. 2023;44(1):323-341.
Sellers K, Leider JP, Gould E, et al. The state of the US governmental public health workforce, 2014-2017. Am J Public Health. 2019;109(5):674-680.
Bogaert K, Papillon G, Etheridge KW, et al. Seven years, 3 surveys, a changed world: the state public health workforce 2014-2021. J Public Health Manag Pract. 2023;29(Suppl 1):S14-S21.
Leider JP, McCullough JM, Singh SR, et al. Staffing up and sustaining the public health workforce. J Public Health Manag Pract. 2023;29(3):E100-E107. Doi:10.1097/PHH.0000000000001614.
doi: 10.1097/PHH.0000000000001614
Leider JP, Sellers K, Bogaert K, Liss-Levinson R, Castrucci BC. Voluntary separations and workforce planning: how intent to leave public health agencies manifests in actual departure in the United States. J Public Health Manag Pract. 2021;27(1):38-45.
Yeager VA, Krasna H. When money is not enough: reimagining public health requires systematic solutions to hiring barriers. Health Aff (Millwood). 2024;43(6):840-845. Doi:10.1377/hlthaff.2024.00020.
doi: 10.1377/hlthaff.2024.00020
Krasna H, Fried L. Generation public health: fixing the broken bridge between public health education and the governmental workforce. Am J Public Health. 2021;111(8):1413-1417. Doi:10.2105/AJPH.2021.306317.
doi: 10.2105/AJPH.2021.306317
Wigington CJ, Colman LT, Sobelson RK, Young AC. Tracking public health workforce retention: observations from CDC’s Public Health Associate program. Am J Public Health. 2019;109(9):1202-1204. Doi:10.2105/AJPH.2019.305156.
doi: 10.2105/AJPH.2019.305156
Yeager VA, Wisniewski JM, Amos K, Bialek R. Why do people work in public health? Exploring recruitment and retention among public health workers. J Public Health Manag Pract. 2016;22(6):559-566. Doi:10.1097/PHH.0000000000000380.
doi: 10.1097/PHH.0000000000000380
Beck AJ, Leider JP, Krasna H, Resnick BA. Monetary and nonmonetary costs and benefits of a public health master’s degree in the 21st century. Am J Public Health. 2020;110(7):978-985. Doi:10.2105/AJPH.2020.305648.
doi: 10.2105/AJPH.2020.305648
Yeager VA, Ferdinand AO, Beitsch LM, Menachemi N. Local public health department characteristics associated with likelihood to participate in national accreditation. Am J Public Health. 2015;105(8):1653-1659. Doi:10.2105/AJPH.2014.302503.
doi: 10.2105/AJPH.2014.302503
Leider JP, Kronstadt J, Yeager VA, et al. Application for public health accreditation among US local health departments in 2013 to 2019: impact of service and activity mix. Am J Public Health. 2021;111(2):301-308. Doi:10.2105/AJPH.2020.306007.
doi: 10.2105/AJPH.2020.306007