Funding: Dissemination and Implementation Research to Improve Value Study (DIRECTIVE)
Understanding how organizational structure impacts reach and effectiveness is essential for local health departments that are redefining their STD service delivery roles as a result of extended health care coverage driven by the Affordable Care Act. This Dissemination and Implementation Research to Improve Value (DIRECTIVE) project supports a consortium of the California and Alabama Public Health Practice-Based Research Networks (PBRNs), who are examining variation in: 1) the differentiation, integration, and concentration of STD prevention, screening and treatment services in local public health systems; 2) the extent to which these differences are associated with the quality of STD services and outcomes, including incidence and racial disparities; 3) facilitators and barriers to implementing evidence-based local STD services; and 4) costs associated with STD treatment efforts. The study will use Multi-Network Practice Outcome Variation Examination (MPROVE) indicators for STDs and the experience of the Delivery and Cost Study (DACS) underway in California by UC Merced. Led by the California Public Health Institute, the project team will generate customized reports on the structure, process, and outcomes of STD services in each local health department.
- STD Services Scope and Organization in California and Alabama: Impacts for Care and Disparities (Systems for Action Research in Progress Webinar, March 2017 recording)
- Improving the Reach and Effectiveness of STD Prevention, Screening, and Treatment Services in Local Public Health Systems (PHSSR Research in Progress Webinar, December 2015 recording)
- Improving the Reach and Effectiveness of STD Prevention, Screening, and Treatment Services in Local Public Health Systems (Poster presentation at 8th Annual Dissemination & Implementation Science Meeting, December 2015)
Lynn D. Silver, Public Health Institute
Hector P. Rodriguez, University of California, Berkeley