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. 2015 Jul-Aug;21(4):325-35.
doi: 10.1097/PHH.0000000000000189.

Practitioner perspectives on foundational capabilities

Jonathon P Leider  1 , Chrissie Juliano, Brian C Castrucci, Leslie M Beitsch, Abby Dilley, Rachel Nelson, Sherry Kaiman, James B Sprague
Affiliations

Practitioner perspectives on foundational capabilities

Jonathon P Leider et al. J Public Health Manag Pract. 2015 Jul-Aug.

Abstract

Context: National efforts are underway to classify a minimum set of public health services that all jurisdictions throughout the United States should provide regardless of location. Such a set of basic programs would be supported by crosscutting services, known as the "foundational capabilities" (FCs). These FCs are assessment services, preparedness and disaster response, policy development, communications, community partnership, and organizational support activities.

Objective: To ascertain familiarity with the term and concept of FCs and gather related perspectives from state and local public health practitioners.

Design: In fall 2013, we interviewed 50 leaders from state and local health departments. We asked about familiarity with the term "foundational capabilities," as well as the broader concept of FCs. We attempted to triangulate the utility of the FC concept by asking respondents about priority programs and services, about perceived unique contributions made by public health, and about prevalence and funding for the FCs.

Setting: Telephone-based interviews.

Participants: Fifty leaders of state and local health departments.

Main outcome measures: Practitioner familiarity with and perspectives on the FCs, information about current funding streams for public health, and the likelihood of creating nationwide FCs that would be recognized and accepted by all jurisdictions.

Results: Slightly more than half of the leaders interviewed said that they were familiar with the concept of FCs. In most cases, health departments had all of the capabilities to some degree, although operationalization varied. Few indicated that current funding levels were sufficient to support implementing a minimum level of FCs nationally.

Conclusions: Respondents were not able to articulate the current or optimal levels of services for the various capabilities, nor the costs associated with them. Further research is needed to understand the role of FCs as part of the foundational public health services.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE •
FIGURE •
The Foundational Public Health Services Modela
See this image and copyright information in PMC

References

    1. Beitsch LM, Brooks RG, Menachemi N, Libbey PM. Public health at center stage: new roles, old props. Health Aff (Millwood). 2006;25(4):911–922. 10.1377/hlthaff.25.4.911. - PubMed
    1. Committee on Assuring the Health of the Public in the 21st Century, Institute of Medicine. The Future of the Public's Health in the 21st Century. Washington, DC: National Academies Press; 2003.
    1. Committee on Public Health Strategies to Improve Health, Institute of Medicine. For the Public's Health: Investing in a Healthier Future. Washington, DC: National Academies Press; 2012. - PubMed
    1. National Association of County & City Health Officials. National Profile of Local Health Departments. Washington, DC: National Association of County & City Health Officials; 2014.
    1. Association of State and Territorial Health Officials. ASTHO Profile of Health. Vol 3 Arlington, VA: Association of State and Territorial Health Officials; 2014.

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