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The Role of Agency in Community Health Outcomes: Local Health Departments and Childhood Immunization Coverage Rates

Ransom, James Anthony
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1382849108

Abstract Details

2013, Ph.D., Antioch University, Leadership and Change.
Organizational culture is defined as a system of shared meaning held by members of an organization that distinguishes it from other organizations. How organizational culture is experienced in the public sector, particularly local health departments (LHDs), is not well understood. The purpose of this study was to determine whether LHD organizational culture impacts childhood immunization coverage rates. I used a modified organizational culture survey tool, the Organizational Management Survey, to quantify organizational culture and determine whether an LHD's organizational culture helps explain variations in childhood immunization coverage rates. In addition, qualitative data from an earlier study of LHD immunization staff were used to enhance the quantitative results. I used factor analysis and hierarchical regression analyses to explore organizational and demographic factors associated with variations in community childhood immunization coverage rates. The factors included organizational culture, organizational leadership, type of LHD, agency size, jurisdiction type, and participation in an immunization coalition. Among the LHD immunization programs in the study sample, organizational culture and type of LHD were significant predictors of immunization rate variation. This two-item model explained 6% of the variation in vaccination coverage levels among the respondents. The other variables did not contribute significantly. This study identified key issues for better understanding how organizational culture functions in LHDs. This research provides information on the impact that organizational culture has on work method and outcomes. Some specific changes can take place or be implemented once this is understood. The electronic version of this Dissertation is at OhioLink ETD Center, www.ohiolink.edu/etd
Philomena Essed, PhD (Committee Chair)
Carol Baron, PhD (Committee Member)
Mitchell Kusy, PhD (Committee Chair)
Angela Snyder, PhD, MPH (Other)
172 p.
Health; Management; Organization Theory; Organizational Behavior; Public Health
Immunization Coverage, Local Health Departments, Organizational Culture, Organizational Leadership, Regression Analysis, Factor Analysis, SPSS, Organizational Management Survey, Public Health

Recommended Citations

Citations

  • Ransom, J. A. (2013). The Role of Agency in Community Health Outcomes: Local Health Departments and Childhood Immunization Coverage Rates [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1382849108

    APA Style (7th edition)

  • Ransom, James. The Role of Agency in Community Health Outcomes: Local Health Departments and Childhood Immunization Coverage Rates. 2013. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1382849108.

    MLA Style (8th edition)

  • Ransom, James. "The Role of Agency in Community Health Outcomes: Local Health Departments and Childhood Immunization Coverage Rates." Doctoral dissertation, Antioch University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1382849108

    Chicago Manual of Style (17th edition)

antioch1382849108
483
© 2013, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.