Public Health Services and Systems Research: Investigating Characteristics of Tribal Public Health System Organization and Performance

Public Health Services and Systems Research: Investigating Characteristics of Tribal Public Health System Organization and Performance

This study seeks to build the evidence base around public health capacity in Indian Country. A rigorous case study research design is employed to ascertain: 1) interorganizational relationships and interactions within a tribal public health system1 2) the conditions and strategies employed through interorganizational relationships to deliver the Ten Essential Services of Public Health in tribal communities, and 3) key organizational, financial, and workforce characteristics of a tribal public health delivery system that address health disparities faced by tribal communities.

Given the complexities of tribal public health systems and gaps in data related to how they deliver essential services, a rigorous case study design will be used to illustrate how a tribal public health system operates. The study is answering the following research questions:

  1. How are tribal public health systems conceptualized and organized by tribes, and why?
  2. Who are key actors and decision-makers within a tribal public health system, and why?
  3. In what ways are tribal public health system partners monitoring system performance and tracking health outcomes?
  4. How does infrastructure (organizational, financial, workforce) within a tribal public health system influence public health approaches, especially those addressing health disparities?
  5. What influence do interorganizational relationships and interactions within a tribal public health system have on its ability to impact health disparities?

Client(s):

Funder(s): Robert Wood Johnson Foundation

Partner(s): Inter-Tribal Council of Michigan and Tribal public health agencies

Project Period: 09/15/2013 - 09/14/2015

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