Evidence-Based Public Health Provided Through Local Health Departments: Importance of Academic–Practice Partnerships

Paul Campbell Erwin; Renee G. Parks; Stephanie Mazzucca; Peg Allen; Elizabeth A Baker; Hengrui Hu; Johnnetta Davis-Joyce; Ross C. Brownson

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Evidence-Based Public Health Provided Through Local Health Departments: Importance of Academic–Practice Partnerships

Erwin, Paul Campbell ^[1] ; Parks, Renee G. ^[2] ; Mazzucca, Stephanie ^[2] ; Allen, Peg ^[2] ; Baker, Elizabeth A. ^[2] ; Hu, Hengrui ^[2] ; Davis-Joyce, Johnnetta ^[3] ; Brownson, Ross C. ^[2]
1. [1] University of Alabama at Birmingham
  
  University of Alabama at Birmingham
  
  Estados Unidos
2. [2] Saint Louis University
  
  Saint Louis University
  
  Estados Unidos
3. [3] National Association of County and City Health Officials, Washington, DC
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Localización: American journal of public health, ISSN 0090-0036, Vol. 109, Nº. 5, 2019, págs. 739-747
Idioma: inglés
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Resumen
- Objectives. To determine the extent to which US local health departments (LHDs) are engaged in evidence-based public health and whether this is influenced by the presence of an academic health department (AHD) partnership.Methods. We surveyed a cross-sectional stratified random sample of 579 LHDs in 2017. We ascertained the extent of support for evidence-based decision-making and the use of evidence-based interventions in several chronic disease programs and whether the LHD participated in a formal, informal, or no AHD partnership.Results. We received 376 valid responses (response rate 64.9%). There were 192 (51.6%) LHDs with a formal, 80 (21.6%) with an informal, and 99 (26.7%) with no AHD partnership. Participants with formal AHD partnerships reported higher perceived organizational supports for evidence-based decision-making and interventions compared with either informal or no AHD partnerships. The odds of providing 1 or more chronic disease evidence-based intervention were significantly higher in LHDs with formal AHD partnerships compared with LHDs with no AHD partnerships (adjusted odds ratio?=?2.3; 95% confidence interval?=?1.3, 4.0).Conclusions. Formal academic?practice partnerships can be important means for advancing evidence-based decision-making and for implementing evidence-based programs and policies.