Gulzar H Shah1, Sergey Sotnikov1, Carolyn J Leep1, Jiali Ye1, Timothy W Van Wave1. 1. Gulzar H. Shah is with Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro. Sergey Sotnikov and Timothy W. Van Wave are with the Office for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, GA. Carolyn J. Leep and Jiali Ye are with National Association of County and City Health Officials, Washington, DC.
Abstract
OBJECTIVES: To develop a local board of health (LBoH) classification scheme and empirical definitions to provide a coherent framework for describing variation in the LBoHs. METHODS: This study is based on data from the 2015 Local Board of Health Survey, conducted among a nationally representative sample of local health department administrators, with 394 responses. The classification development consisted of the following steps: (1) theoretically guided initial domain development, (2) mapping of the survey variables to the proposed domains, (3) data reduction using principal component analysis and group consensus, and (4) scale development and testing for internal consistency. RESULTS: The final classification scheme included 60 items across 6 governance function domains and an additional domain-LBoH characteristics and strengths, such as meeting frequency, composition, and diversity of information sources. Application of this classification strongly supports the premise that LBoHs differ in their performance of governance functions and in other characteristics. CONCLUSIONS: The LBoH taxonomy provides an empirically tested standardized tool for classifying LBoHs from the viewpoint of local health department administrators. Future studies can use this taxonomy to better characterize the impact of LBoHs.
OBJECTIVES: To develop a local board of health (LBoH) classification scheme and empirical definitions to provide a coherent framework for describing variation in the LBoHs. METHODS: This study is based on data from the 2015 Local Board of Health Survey, conducted among a nationally representative sample of local health department administrators, with 394 responses. The classification development consisted of the following steps: (1) theoretically guided initial domain development, (2) mapping of the survey variables to the proposed domains, (3) data reduction using principal component analysis and group consensus, and (4) scale development and testing for internal consistency. RESULTS: The final classification scheme included 60 items across 6 governance function domains and an additional domain-LBoH characteristics and strengths, such as meeting frequency, composition, and diversity of information sources. Application of this classification strongly supports the premise that LBoHs differ in their performance of governance functions and in other characteristics. CONCLUSIONS: The LBoH taxonomy provides an empirically tested standardized tool for classifying LBoHs from the viewpoint of local health department administrators. Future studies can use this taxonomy to better characterize the impact of LBoHs.
Authors: Xinzhi Zhang; Huabin Luo; Edward W Gregg; Qaiser Mukhtar; Mark Rivera; Lawrence Barker; Ann Albright Journal: Am J Public Health Date: 2010-06-17 Impact factor: 9.308
Authors: Kay A Lovelace; Robert E Aronson; Kelly L Rulison; Jeffrey D Labban; Gulzar H Shah; Mark Smith Journal: Am J Public Health Date: 2015-02-17 Impact factor: 9.308
Authors: Hector P Rodriguez; Jie Chen; Kwame Owusu-Edusei; Allen Suh; Betty Bekemeier Journal: Am J Public Health Date: 2012-07-19 Impact factor: 9.308
Authors: Gulzar H Shah; Jonathon P Leider; Brian C Castrucci; Karmen S Williams; Huabin Luo Journal: Public Health Rep Date: 2016 Mar-Apr Impact factor: 2.792