Improving public health preparedness capacity measurement: development of the local health department preparedness capacities assessment survey

Disaster Medicine and Public Health Preparedness
Mary V DavisCammie Marti

Abstract

To address limitations in measuring the preparedness capacities of health departments, we developed and tested the Local Health Department Preparedness Capacities Assessment Survey (PCAS). Preexisting instruments and a modified 4-cycle Delphi panel process were used to select instrument items. Pilot test data were analyzed using exploratory factor analysis. Kappa statistics were calculated to examine rater agreement within items. The final instrument was fielded with 85 North Carolina health departments and a national matched comparison group of 248 health departments. Factor analysis identified 8 initial domains: communications, surveillance and investigation, plans and protocols, workforce and volunteers, legal infrastructure, incident command, exercises and events, and corrective action. Kappa statistics and z scores indicated substantial to moderate agreement among respondents in 7 domains. Cronbach α coefficients ranged from 0.605 for legal infrastructure to 0.929 for corrective action. Mean scores and standard deviations were also calculated for each domain and ranged from 0.41 to 0.72, indicating sufficient variation in the sample to detect changes over time. The PCAS is a useful tool to determine how well health departm...Continue Reading

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Citations

Sep 12, 2014·American Journal of Public Health·Mary V DavisAnna P Schenck
Jun 10, 2014·Prehospital and Disaster Medicine·Sae OchiVirginia Murray
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Oct 31, 2014·Public Health Reports·Mary V DavisAnna P Schenck
Nov 22, 2016·Journal of Public Health Management and Practice : JPHMP·Jacqueline MerrillRobyn R Gershon

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