title: Local public health agency performance and community health status.
abstract: This study describes the results of an analysis of the relationship between local public health agency performance and health outcomes. Findings support the model that local public health agency performance affects community health status, and depending on the outcome, performance contributions vary. New hypotheses are offered that could help determine how system performance affects health outcomes.
authors.affiliation: Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21202, USA. nkanarek@jhsph.edu
authors.forename: Norma
authors.initials: N
authors.lastname: Kanarek
authors.forename: Jennifer
authors.initials: J
authors.lastname: Stanley
authors.forename: Ron
authors.initials: R
authors.lastname: Bialek
mesh_terms: D006302:Health Services Research; D006304:Health Status; D006801:Humans; D007373:Interinstitutional Relations; D009111:Local Government; D011635:Public Health Administration / Q000592:standards*; D017749:Total Quality Management / Q000592:standards*