Volume 11 — May 08, 2014
ORIGINAL RESEARCH
Perceived Benefits and Challenges of Coordinated Approaches to Chronic Disease Prevention in State Health Departments
| Perceived Benefit | Rank Sum |
|---|---|
| Improved health outcomes | 980 |
| Common risk factors better addressed | 857 |
| Reduced duplication of program efforts | 726 |
| Message consistency across programs | 399 |
| Multiple chronic diseases better addressed | 380 |
| Maximizing staff resources | 362 |
| At-risk populations better served | 290 |
| Improved health department structure | 260 |
| Improved sustainability | 273 |
| Innovative approaches identified | 207 |
| Pooled funding across programs | 212 |
| Effective coalition time and resource use | 157 |
| Other | 34 |
| Improved advisory capacity | 25 |
Figure 1. Perceived benefits of coordinated chronic
disease approaches, United States, 2013. Participants (N = 865) in a
national survey of state health department employees from all 50 states and
the District of Columbia working in chronic disease prevention selected and
ranked their top 3 anticipated benefits of coordinated chronic disease
practice from the list shown in the figure.
| Perceived Challenge | Rank Sum |
|---|---|
| Funding restrictions | 1,054 |
| Competing priorities | 978 |
| Lack of communication across programs | 638 |
| Funding might be reduced | 563 |
| Agency not structured for coordination | 455 |
| Disease-specific partners may not support | 340 |
| Staff resistance | 267 |
| Staff turnover | 188 |
| Loss of personal staff commitment | 163 |
| Lack of focus | 156 |
| Program impact decline | 142 |
| Other | 107 |
| Reduced public understanding | 62 |
Figure 2. Perceived challenges of coordinated chronic
disease approaches, United States, 2013. Participants (N = 865) in a
national survey of state health department employees from all 50 states and
the District of Columbia working in chronic disease prevention selected and
ranked their top 3 challenges to coordinated chronic disease practice from
the list shown in the figure.
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.
