Forces of Change Survey, 2014 (ICPSR 36153)

Version Date: Feb 29, 2016

Principal Investigator(s):
Sarah Newman, National Association of County and City Health Officials

Series:

https://doi.org/10.3886/ICPSR36153.v1

Version V1 ()

  • V2 [2018-11-20]
  • V1 [2016-02-29] unpublished

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Additional details may be in the Version History or Data Collection Notes fields of the study metadata.

2018-02-15 The citation of this study may have changed due to the new version control system that has been implemented. The previous citation was:

  • Newman, Sarah. Forces of Change Survey, 2014. ICPSR36153-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2016-02-29. http://doi.org/10.3886/ICPSR36153.v1

2016-02-29 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:

  • Checked for undocumented or out-of-range codes.

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Alternate Title

2014 Forces of Change Study

Summary

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' budgets, staff, and programs. The Forces of Change Survey continues to measure changes in LHD budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. More specifically, the survey collected information about LHD staffing levels, workforce reductions, and changes in budget sizes; provided services or functions; changes in the level of service delivery; billing for clinical services; efforts to help people enroll in health insurance from exchanges under the Affordable Care Act; awareness of and involvement in the State Innovation Models Initiative; participation in the Public Health Accreditation Board's national accreditation program for LHDs; and whether LHDs are part of a combined health and human services agency.

Citation

Newman, Sarah. Forces of Change Survey, 2014. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2016-02-29. https://doi.org/10.3886/ICPSR36153.v1

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Funding

Robert Wood Johnson Foundation (71723), United States Department of Health and Human Services. Centers for Disease Control and Prevention (1U38OT000172-01)

Subject Terms

Geographic Coverage

Restrictions

As explained in the ICPSR Processing Notes in the codebook, some variables are restricted from general dissemination for reasons of confidentiality. Users interested in obtaining the Restricted-Use Version of the Data, which contains both the restricted variables and all of the variables in the Public-Use Version of the Data, must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to the Restricted-Use Version of the Data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

To obtain the Public-Use Version of the Data, users must submit a data request form (user agreement) which is provided together with the technical documentation for this study. Submission instructions are included on the form.

Distributor(s)

Inter-university Consortium for Political and Social Research
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Time Period(s)

2014-01 -- 2014-02

Date of Collection

2014-01 -- 2014-02

Data Collection Notes

  1. Additional information about this study is available on the NACCHO website.

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Sample

A representative, stratified random sampling design was adopted instead of a complete census. This minimized survey burden on LHDs while enabling the calculation of both national- and state-level estimates. LHDs were stratified by two variables: state and size of the population served. For stratification by size of population served, three categories were used: small (less than 50,000 people served), medium (50,000-499,999 people served), and large (500,000 or more people served). Because LHDs with large population sizes represent a relatively small portion of all LHDs, these LHDs were oversampled to ensure a sufficient number of responses for the analysis. Two states (Hawaii and Rhode Island) were excluded from the study because they had no LHDs. In addition, some states did not have any LHDs in a particular size category, resulting in a total of 122 strata. The sampling plan was designed to select a minimum of 33 percent of the LHDs in a given stratum and at least two LHDs per stratum whenever possible.

Once the sampling plan was finalized, NACCHO drew a random sample of the specified size from within each stratum. In some centralized states, two or more LHDs had the same person listed as the contact person. To minimize response burden, no more than two LHDs with the same contact person were kept in the sample. However, two contacts in Alabama received three surveys each because additional contacts in their state were not available. When LHDs with a common contact person were dropped from sample, or when contact information was not available, a replacement was drawn. Overall, a sample of 952 LHDs was selected of which 648 responded to the survey.

Universe

Local health departments in 48 states and the District of Columbia. Hawaii and Rhode Island were excluded from the survey because they had no LHDs.

Data Type(s)

Mode of Data Collection

Response Rates

68 percent

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Original Release Date

2016-02-29

Version History

2018-02-15 The citation of this study may have changed due to the new version control system that has been implemented. The previous citation was:

  • Newman, Sarah. Forces of Change Survey, 2014. ICPSR36153-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2016-02-29. http://doi.org/10.3886/ICPSR36153.v1

2016-02-29 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:

  • Checked for undocumented or out-of-range codes.

Hide