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Community Health Improvement Plans a...

Carroll, Leslie Dyan.

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Community Health Improvement Plans at National and Local Levels: An Analysis of Plans and Innovative Approach in an Urban Health Department.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Community Health Improvement Plans at National and Local Levels: An Analysis of Plans and Innovative Approach in an Urban Health Department./
作者:	Carroll, Leslie Dyan.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	197 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-03, Section: B.
Contained By:	Dissertations Abstracts International82-03B.
標題:	Health sciences. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13866017
ISBN:	9798664761115

Community Health Improvement Plans at National and Local Levels: An Analysis of Plans and Innovative Approach in an Urban Health Department.
Carroll, Leslie Dyan.

Community Health Improvement Plans at National and Local Levels: An Analysis of Plans and Innovative Approach in an Urban Health Department. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 197 p.

Source: Dissertations Abstracts International, Volume: 82-03, Section: B.

Thesis (Ph.D.)--The University of Oklahoma Health Sciences Center, 2020.

This item must not be sold to any third party vendors.

In the past ten years, Community Health Improvement Plans (CHIPs) have become a requirement for both health department accreditation and to maintain not-for-profit hospital exempt status. This dissertation consists of three papers that cohesively describe the planning and implementation of an innovative local CHIP. First, I analyzed CHIPs at a national level by conducting a systematic review of the literature (n = 195). Papers #2 and #3 detail a sequential mixed methods research approach to a local CHIP. Paper #2 reports the effectiveness of a nonprofit arm to a health department in the implementation of a local CHIP. A cross-sectional survey was conducted among community partners participating in the CHIP (n = 43), semi-structured interviews were completed among facilitators of the CHIP (n = 8), and two focus groups were administered among partners and facilitators who attended at least half of the meetings over a three year period (n = 14). Paper #3 reports on participatory process evaluation used to meet one specific goal of a local CHIP, to increase the purchase of fruits and vegetables among Millennials at a farmers' market using a cross-sectional survey among Millennials (n = 44) followed by key informant interviews among Millennials, vendors, and board members two years after the intervention (n = 8). National findings from the literature revealed the following: that over 20% of CHIPs did not use a planning model, that all addressed health equity with social support most likely to be included, that all included cross-sector partnerships, and that local health departments are most often the steering organization. Local findings indicate the CHIP meetings were productive. Facilitators valued formal training, and incentives provided by the nonprofit arm of the health department were critical to partner engagement and collaboration. Focus group data revealed benefits and challenges to CHIP participation. Survey results found food samples, coupons, and recipes influence purchasing behaviors among Millennials. Qualitative findings reinforced the quantitative findings. These findings indicate that with CHIPs, local health departments have the potential to lead community partners toward shared health goals.

ISBN: 9798664761115Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

Community health improvement plan

Community Health Improvement Plans at National and Local Levels: An Analysis of Plans and Innovative Approach in an Urban Health Department.
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500 $a Source: Dissertations Abstracts International, Volume: 82-03, Section: B.
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502 $a Thesis (Ph.D.)--The University of Oklahoma Health Sciences Center, 2020.
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520 $a In the past ten years, Community Health Improvement Plans (CHIPs) have become a requirement for both health department accreditation and to maintain not-for-profit hospital exempt status. This dissertation consists of three papers that cohesively describe the planning and implementation of an innovative local CHIP. First, I analyzed CHIPs at a national level by conducting a systematic review of the literature (n = 195). Papers #2 and #3 detail a sequential mixed methods research approach to a local CHIP. Paper #2 reports the effectiveness of a nonprofit arm to a health department in the implementation of a local CHIP. A cross-sectional survey was conducted among community partners participating in the CHIP (n = 43), semi-structured interviews were completed among facilitators of the CHIP (n = 8), and two focus groups were administered among partners and facilitators who attended at least half of the meetings over a three year period (n = 14). Paper #3 reports on participatory process evaluation used to meet one specific goal of a local CHIP, to increase the purchase of fruits and vegetables among Millennials at a farmers' market using a cross-sectional survey among Millennials (n = 44) followed by key informant interviews among Millennials, vendors, and board members two years after the intervention (n = 8). National findings from the literature revealed the following: that over 20% of CHIPs did not use a planning model, that all addressed health equity with social support most likely to be included, that all included cross-sector partnerships, and that local health departments are most often the steering organization. Local findings indicate the CHIP meetings were productive. Facilitators valued formal training, and incentives provided by the nonprofit arm of the health department were critical to partner engagement and collaboration. Focus group data revealed benefits and challenges to CHIP participation. Survey results found food samples, coupons, and recipes influence purchasing behaviors among Millennials. Qualitative findings reinforced the quantitative findings. These findings indicate that with CHIPs, local health departments have the potential to lead community partners toward shared health goals.
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