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Uses of Population Health Rankings in Local Policy Contexts: A Multisite Case Study
Journal article   Peer reviewed

Uses of Population Health Rankings in Local Policy Contexts: A Multisite Case Study

Jonathan Purtle, Rachel Peters, Jennifer Kolker and Ana V Diez Roux
Medical care research and review, v 76(4), pp 478-496
Aug 2019
PMID: 29148353
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Community Health Planning - organization & administration Health Policy Health Status Indicators Humans Interviews as Topic Policy Making Population Health Public Health Public Policy
Population health rankings are a common strategy to spur evidence-informed health policy making, but little is known about their uses or impacts. The study aims were to (1) understand how and why the County Health Rankings (CH-Rankings) are used in local policy contexts, (2) identify factors that influence CH-Rankings utilization, and (3) explore potentially negative impacts of the CH-Rankings. Forty-four interviews were conducted with health organization officials and public policy makers in 15 purposively selected counties. The CH-Rankings were used instrumentally to inform internal planning decisions, conceptually to educate the public and policy makers about determinants of population health, and politically to advance organizational agendas. Factors related to organizational capacity, county political ideology, and county rank influenced if, how, and why the CH-Rankings were used. The CH-Rankings sometimes had the negative impacts of promoting potentially ineffective interventions in politically conservative counties and prompting negative media coverage in some counties with poor rank.

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8 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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