A New Methodology for Reporting the Status of Community Health Improvement in the United States |
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Authors: | Norma F. Kanarek Ron Bialek Yoku Shaw-Taylor |
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Affiliation: | (1) Johns Hopkins University, Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA;(2) Public Health Foundation, 1300 L Street NW, #800, Washington, DC 20001, USA;(3) National Opinion Research Center, University of Chicago, 1350 CT Ave, NW, Suite 500, Washington, DC 20036, USA |
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Abstract: | Objective To assure that Healthy Communities are achieved, a tracking methodology is proposed using four health improvement categories. Methods Counties are classified as having met or not met nine HP2010 mortality targets and as improving or not improving, creating four categories of community health improvement – static, progressing, exemplary, and maintaining. Results Exemplary counties make up 1.7%32.7% of counties, counties have both improved and met the HP2010 target during the period. Across all indicators, a large proportion remains of counties that have neither met the HP2010 target nor improved (33.572.8%). Conclusions Understanding why, how, and in what ways communities move from static to maintaining categories is necessary to guiding every local public health system to community health improvement. |
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Keywords: | Healthy People 2010 United States counties public health surveillance methodology |
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