TY  - JOUR
AU  - Sun, Xiaoting
AU  - Palm, David
AU  - Grimm, Brandon
AU  - Chen, Li-Wu
PY  - 2019
TI  - Strengthening Linkages Between Public Health and Health Care in Nebraska
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E100
VL  - 16
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Effective collaboration between public health and the health care system is essential for connecting medical and community health-related resources and improving population health. We investigated the linkages between local health departments and primary care clinics in Nebraska. METHODS  We conducted a mixed-method study by using semistructured in-person and telephone interviews and surveys in 2017 and 2018 with directors of 19 Nebraska local health departments. Interviews and surveys assessed activities and programs that health departments implemented or planned with clinics in their jurisdictions. Barriers, benefits, and opportunities for building the linkages were identified. RESULTS  Strong linkages existed between local health departments and primary care clinics. Linkages focused on the control and prevention of chronic diseases and on traditional public health programs, including screening for cancer and other chronic diseases, vaccinations, worksite wellness programs, home visits, clinic and medication assistance referrals, health message development, electronic health records data analyses, staff education, and improvements in policies and procedures. The most frequently reported barrier was funding, and the most frequently reported benefit was patient behavior change. The opportunity most frequently reported was chronic disease health coaching. CONCLUSION  Extensive linkages exist between Nebraska local health departments and the health care systems in their areas. Additional funding, effective workforce management, community needs assessments, and program evaluation can support joint initiatives to address community health priorities.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd16.180600
DO  - 10.5888/pcd16.180600
ER  - 
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