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Article
Compliance with the Recommendations of the Institute of Medicine Report, The Future of Public Health: A Survey of Local Health Departments
Journal of Public Health Policy (1997)
  • F. Douglas Scutchfield, MD, University of Kentucky
  • Steven E. Hiltabiddle
  • Nancy Rawding
  • Tida Violante
Abstract

In 1989 a survey of state health officials was conducted to ascertain the extent that the recommendations of the 1988 Institute of Medicine's report, The Future of Public Health, were in place. We applied a similar survey in 1996 to assess the level of implementation of the IOM recommendations at the local health department level. Agreement with the specific IOM recommendations at the local level was, in almost all cases, greater than 90%. However, when one views the extent of these recommendations in place, nearly half fall below 50%. While there have been improvements in areas such as education of the public and outreach towards legislators and voluntary health organizations, our results show that there are still major short-comings when it comes to implementing the recommendations. Lack of resources at the local level appears to be the predominant cause of the low level of implementation, with restricted authority and lack of support also contributing to the problem. We feel the IOM recommendations can provide a strong foundation for our public health system, and hope these results help serve as a benchmark for further study.

Keywords
  • Public Health,
  • Medical Personnel,
  • Surveys,
  • Health Maintenance organizations,
  • Health Education,
  • National Health Services,
  • HMO Medical Centers,
  • Health and Welfare Funds
Publication Date
June, 1997
Publisher Statement
Journal of Public Health Policy © 1997

Palgrave Macmillan Journals.

Citation Information
F. Douglas Scutchfield, Steven E. Hiltabiddle, Nancy Rawding and Tida Violante. "Compliance with the Recommendations of the Institute of Medicine Report, The Future of Public Health: A Survey of Local Health Departments" Journal of Public Health Policy Vol. 18 Iss. 2 (1997)
Available at: http://works.bepress.com/f_douglas_scutchfield/18/