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National Profile of Local Health Departments Public Health Systems Research Group Meeting. Patrick M. Libbey Carolyn J. Leep February 8, 2006. 2005 National Profile of Local Health Departments Study. Census – includes all LHDs in U.S. Three prior studies
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National Profile of Local Health Departments Public Health Systems Research Group Meeting Patrick M. Libbey Carolyn J. Leep February 8, 2006
2005 National Profile of Local Health Departments Study • Census – includes all LHDs in U.S. • Three prior studies • Conducted in 1989, 1992-93, and 1995-96 • First National Profile to be conducted as web-based survey • CDC is primary funder • NLM and HRSA support for specific analyses
2005 Profile Questionnaire Structured as Core and Modules • Core questionnaire sent to every LHD • N = 2864 • Three different modules • Each sent to sample of ~550 LHDs • Stratified by population served
Governance Population served Finances Characteristics of top executive LPHA workforce Activities and services provided Community health assessment & improvement Information technology Topics in Profile Core
Detailed information on: Finances LPHA workforce Community health assessment & improvement Information technology Additional Topics: Performance improvement Emergency preparedness Partnerships Policy-making and advocacy Addressing health inequities Topics in Profile Modules
How are Profile Data Used? • By LHDs to benchmark and advocate • By state and federal agencies to better understand LPH practice • By policymakers addressing LPH issues • By NACCHO staff to support programs for LHDs • By researchers exploring specific hypotheses
Preview of 2005 Profile Data • Data collection completed in November 2005 • Data cleaning is ongoing IMPORTANT NOTE: Data presented are preliminary .
Who funds local health departments? • Examined self-reported data on funding from 1992-93 and 2005 National Profile of Local Health Departments studies • Looked for differences in funding sources by: • population served • jurisdiction (city/town, county, district/region, etc.) • state • Compared funding sources in 1993 and 2005
1993 National Profile Mailed survey N= 2,875 Fielded for 14 months in 1992-93 Response rate = 72% 2005 National Profile Web-based survey N=2,864 Fielded for 4 months in 2005 Response rate = 80% National Profile of Local Health Departments
Mean Percentage of Total Revenue from Various Sources1993 and 2005 Profiles of LHDs
Revenue Sources by State • Large differences in funding patterns by state • Both 1993 & 2005 data demonstrate differences
Availability of 2005 Profile Data • Researchers can request to purchase Profile data from NACCHO • Expected to be available in June 2006 • Data use policy available at: http://www.naccho.org/topics/infrastructure/2005Profile.cfm • Carolyn Leep, Profile Program Manager cleep@naccho.org