title: Minimum package of public health services: the adoption of core services in local public health agencies in Colorado.
abstract: OBJECTIVE
  We examined the effect of a state law in Colorado that required local public health agencies to deliver a minimum package of public health services.
  
  
  METHODS
  We used a longitudinal, pre-post study design, with baseline data collected in 2011 and follow-up data collected in 2013. We conducted means testing to analyze the change in service delivery and activities. We conducted linear regression to test for system structure effects on the implementation of core services.
  
  
  RESULTS
  We observed statistically significant increases in several service areas within communicable disease, prevention and population health promotion, and environmental health. In addition to service and program areas, specific activities had significant increases. The significant activity increases were all in population- and systems-based services.
  
  
  CONCLUSIONS
  This project provided insight into the likely effect of national adoption of a minimum package as recommended by the Institute of Medicine. The implementation of a minimum package showed significant changes in service delivery, with specific service delivery measurement over a short period of time. Our research sets up a research framework to further explore core service delivery measure development.
authors.affiliation: Sarah Lampe and Lisa VanRaemdonck are with the Colorado Public Health Practice Based Research Network, Colorado Association of Local Public Health Officials, Denver. Adam Atherly is with the Department of Health Systems, Management and Policy, Colorado School of Public Health, Aurora. Kathleen Matthews is with the Office of Planning and Partnerships, Colorado Department of Public Health and Environment, Denver. Julie Marshall is with the Department of Epidemiology, Colorado School of Public Health, Aurora.
authors.forename: Sarah
authors.initials: S
authors.lastname: Lampe
authors.forename: Adam
authors.initials: A
authors.lastname: Atherly
authors.forename: Lisa
authors.initials: L
authors.lastname: VanRaemdonck
authors.forename: Kathleen
authors.initials: K
authors.lastname: Matthews
authors.forename: Julie
authors.initials: J
authors.lastname: Marshall
mesh_terms: D002908:Chronic Disease / Q000517:prevention & control; D003120:Colorado; D003140:Communicable Disease Control; D004777:Environment; D006293:Health Promotion; D006801:Humans; D009111:Local Government; D008137:Longitudinal Studies; D015980:Public Health Practice / Q000331:legislation & jurisprudence*