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ORIGINAL RESEARCH

Perceived Benefits and Challenges of Coordinated Approaches to Chronic Disease Prevention in State Health Departments

Perceived BenefitRank Sum
Improved health outcomes980
Common risk factors better addressed857
Reduced duplication of program efforts726
Message consistency across programs399
Multiple chronic diseases better addressed380
Maximizing staff resources362
At-risk populations better served290
Improved health department structure260
Improved sustainability273
Innovative approaches identified207
Pooled funding across programs212
Effective coalition time and resource use157
Other34
Improved advisory capacity25


Figure 1.
Perceived benefits of coordinated chronic disease approaches, United States, 2013. Participants (N = 865) in a national survey of state health department employees from all 50 states and the District of Columbia working in chronic disease prevention selected and ranked their top 3 anticipated benefits of coordinated chronic disease practice from the list shown in the figure.

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Perceived ChallengeRank Sum
Funding restrictions1,054
Competing priorities978
Lack of communication across programs638
Funding might be reduced563
Agency not structured for coordination455
Disease-specific partners may not support340
Staff resistance267
Staff turnover188
Loss of personal staff commitment163
Lack of focus156
Program impact decline142
Other107
Reduced public understanding62


Figure 2.
Perceived challenges of coordinated chronic disease approaches, United States, 2013. Participants (N = 865) in a national survey of state health department employees from all 50 states and the District of Columbia working in chronic disease prevention selected and ranked their top 3 challenges to coordinated chronic disease practice from the list shown in the figure.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.

 
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