National Longitudinal Survey of Public Health Systems (NALSYS), [United States], 1998-2018 (ICPSR 23420)

Version Date: May 5, 2020

Principal Investigator(s):
Glen P. Mays, University of Kentucky; F. Douglas Scutchfield, University of Kentucky

https://doi.org/10.3886/ICPSR23420.v3

Version V3 ()

  • V4 [2020-09-23]
  • V3 [2020-05-05] unpublished
  • V2 [2018-02-08] unpublished
  • V1 [2008-12-01] unpublished

You are viewing an older version of this study. A newer version is available ()

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

2020-05-05 Datasets 3 and 4 were added, which include survey results from 2016 and 2018.

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:

  • Mays, Glen P., and F. Douglas Scutchfield. National Longitudinal Survey of Public Health Systems (NALSYS), [United States], 1998-2018. ICPSR23420-v3. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2020-05-05. http://doi.org/10.3886/ICPSR23420.v3

2018-02-08 Dataset 2 was added, which includes survey results from 2012 and 2014.

2008-12-01 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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Summary

Obtaining a better understanding of the organizational and operational attributes of public health delivery systems is a critical step in elucidating pathways for improving public health services. This survey of local governmental public health agencies was conducted to that end, as part of a larger study designed to classify the structural characteristics of local public health delivery systems and to examine variation and change in these characteristics over time. In 1998 and again in 2006, 2012, 2014, 2016 and 2018, local governmental public health agencies serving populations of 100,000 residents or more were surveyed about 20 core public health activities devoted to public health assessment, policy development, and assurance. For each activity, the survey instrument asked agency directors to report whether the activity was performed at all in the agency's jurisdiction and if so, which types of organizations were involved in performing the activity. Response options for the second item consisted of a pre-defined list of organization types, including hospitals, physician practices, health insurers, community health centers, educational institutions, community-based and faith-based organizations, state and local government agencies, and private businesses/employers. The instrument also asked what proportion of the total community effort for each activity was contributed by the local public health agency and asked how effectively the activity was performed.

Citation

Mays, Glen P., and Scutchfield, F. Douglas. National Longitudinal Survey of Public Health Systems (NALSYS), [United States], 1998-2018. Inter-university Consortium for Political and Social Research [distributor], 2020-05-05. https://doi.org/10.3886/ICPSR23420.v3

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Funding

Robert Wood Johnson Foundation (053229, 70363, 71147, 73818)

Subject Terms

Geographic Coverage

Smallest Geographic Unit

Local public health jurisdiction

Restrictions

As explained in the ICPSR Processing Notes in the codebook, ICPSR restricted variables ID1998 (1998 agency ID) , ID2006 (2006 agency ID) in Dataset 1 from general dissemination for reasons of confidentiality. Users interested in obtaining these 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 these data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

Distributor(s)

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

1998 -- 2018

Date of Collection

1998 -- 2018

Data Collection Notes

  1. The data are organized in panel format with each local health department having one record for each year of the survey in which it responded (1998, 2006, 2012, 2014, 2016, and 2018). Thus, agencies that responded only in 1998 have only one record, while agencies that responded in multiple years have multiple records.

  2. Additional information about the survey is available on the Robert Wood Johnson Foundation's Systems for Action website.

  3. A randomly assigned agency identification number named ICPSR_ID15 was added to the data, which can be used to link the agency records across the four waves of the survey.

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Study Design

A stratified random sample of the nation's largest local governmental public health agencies was surveyed in 1998, 2006, 2012, 2014, 2016 and in 2018 to ascertain the availability of 20 core public health activities within their jurisdictions and to identify the types of organizations contributing to each activity. The attributes of local public health delivery systems were measured using a survey instrument based on the Local Public Health System Assessment tool developed through a series of research projects commissioned by the US Centers for Disease Control and Prevention. These projects identified services and activities regarded as important for protecting and improving public health at the community level, each of which derived from one of the three core public health functions of assessment, policy development, and assurance as articulated by the Institute of Medicine.

Sample

A 100-percent sample of the universe was selected.

Universe

The universe comprised all 497 local public health delivery systems in the United States that served jurisdictions of at least 100,000 residents during 1996-1997 as identified in the National Association of County and City Health Officials' (NACCHO) 1997 National Profile of Local Health Departments. Geographically defined, each system is the service area of one of the nation's local governmental public health agencies, which were identified based on NACCHO's definition of a local governmental public health agency: "an administrative or service unit of local or state government that is concerned with health and carries out some responsibility for the health of a jurisdiction smaller than the state."

Data Type(s)

Mode of Data Collection

Response Rates

A 71 percent response rate (n = 354) was achieved in the 1998 survey. The survey was re-administered to the same stratified sample of agencies in 2006, 2012, and 2014, achieving a response rate of 67% in 2006, 68% in 2012, 58% in 2014, 62% in 2016 and 60% in 2018.

Presence of Common Scales

The survey instrument was based on the Local Public Health System Assessment tool developed through a series of research projects commissioned by the United States Centers for Disease Control and Prevention.

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Original Release Date

2008-12-01

Version History

2020-05-05 Datasets 3 and 4 were added, which include survey results from 2016 and 2018.

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:

  • Mays, Glen P., and F. Douglas Scutchfield. National Longitudinal Survey of Public Health Systems (NALSYS), [United States], 1998-2018. ICPSR23420-v3. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2020-05-05. http://doi.org/10.3886/ICPSR23420.v3

2018-02-08 Dataset 2 was added, which includes survey results from 2012 and 2014.

2008-12-01 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
These data and any accompanying documentation are not currently available from ICPSR.
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2025
Lynn Vazquez, Christine Changes In Local Public Health System Characteristics Before And After The Implementation Of Ohio's Public Health Accreditation Board Policy For Local Public Health Departments. University of Kentucky. [thesis]
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2024
Bauer, Kyla L., Mitchell, Amelia L., Mays, Glen P. Examining characteristics of local public health systems with exceptional tribal organization participation. Journal of Public Health Management and Practice. 30, (2), 274-284.
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2024
Brillakis, Haritomane Physicians in Community Networks: Contributions to the Delivery of Public Health Activities within Local Public Health Systems. American Public Health Association Annual Meeting and Expo. Minneapolis, MN.
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2024
Hogg-Graham, Rachel Understanding the Components of High-Value Public Health Systems. American Public Health Association Annual Meeting and Expo. Minneapolis, MN.
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2024
Hogg-Graham, Rachel, Waters, Teresa M., Clear, Emily R., Pearson, Kendall, Benitez, Joseph A., Mays, Glen P. Longitudinal trends in insurer participation in multisector population health activities. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing. .
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2024
Mays, Glen Effects of Accountable Health Communities on Clinical-Community Partnerships: Evidence from Network Analysis. American Public Health Association Annual Meeting and Expo. Minneapolis, MN.
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2024
Mays, Glen; The Health and Economic Value of Strong Public Health Systems: Using Evidence from Network Science and Econometrics. American Public Health Association Annual Meeting and Expo. Minneapolis, MN.
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2024
Storaci, Alexandra Comparing Capabilities and Partnerships across Public Health Systems: Implications for Innovative Investment Strategies. American Public Health Association Annual Meeting and Expo. Minneapolis, MN.
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2023
Chen, C., Simpson, V., Mallur, A., Hass, Z. Elements of Local Public Health Infrastructure that Correlate with Best Practice Activities. American Public Health Association Annual Meeting. Atlanta, GA.
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2023
Chen, Mengzhou Cloris Elements of Local Public Health Infrastructure that Correlate with Best Practice Activities: A Preliminary Analysis. Purdue University. [thesis]
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2023
Hogg-Graham, Rachel, Mamaril, Cezar B., Benitez, Joseph A., Gatton, Kelsey, Mays, Glen P. Impact of state Medicaid expansion on cross-sector health and social service networks: Evidence from a longitudinal cohort study. Health Services Research. .
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2023
Hogg-Graham, R., Gatton, K.R., Ingram, R., Mays, G.P. Association between insurer connectivity in Appalachian population health networks and preventable hospitalizations: Evidence from Kentucky. Journal of Appalachian Health. 5, (2), 15-31.
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2023
Lacy, Beth, Bush, Joshua, Hogg-Graham, Rachel Diabetes Preventable Hospitalizations and Insurer Participation in Population Health Networks [poster]. American Public Health Association Annual Meeting. Atlanta, GA.
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2023
Mays, Glen Medical Provider Engagement in Equity-centered Practices Is Infrequent but Associated with Lower Preventable Mortality in Minority Populations [poster]. American Public Health Association Annual Meeting. Atlanta, GA.
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2023
Otiento, C., Hogg-Graham, R., Clear, E. Community Diversity and Cross-sector Participation in Population Health Networks [poster]. American Public Health Association Annual Meeting. Atlanta, GA.
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2023
Quinlan, Taryn A.G., Mitchelle, Amelia L., Myas, Glen P. Who delivers maternal and child health services? The contributions of public health and other community partners. Milbank Quarterly. .
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2022
Brosi, Deena N., Mays, Glen P. Local public health system capabilities and COVID-19 death rates. Public Health Reports. 137, (5), 980-987.
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2022
Courtney, Stephanie Local Public Health System Comprehensiveness And Opioid Overdose Mortality, 2012-2018. University of Kentucky. [doctoral capstone project]
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2022
Gigliotti, Philip A. Performance Management and Contracting Out to Support Public Health Objectives: Evidence from U.S. Local Health Departments. State University of New York at Albany. [dissertation]
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2022
Hogg-Graham, R., Graves, E., Mays, G.P. Identifying value-added population health capabilities to strengthen public health infrastructure. Milbank Quarterly. 100, (1), 261-283.
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2022
Mays, Glen Multi-Sector Public Health Networks and Excess Mortality for Minority Populations throughout the COVID-19 Pandemic. Academy Health Annual Research Meeting. Washington, DC.
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2022
Mays, Glen, Quinlan, Taryn, Mitchell, Amelia Maternal and Child Health Cross-Sector Collaboration in Community Health Networks. Academy Health Annual Research Meeting. Washington, DC.
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2022
Owsley, Kelsey M., Bauer, Kyla L., Mays, Glen P. Best of ARM: Evaluating engagement in multisector community health networks: The case of tribal organizations. Health Services Research. 57, (5), 1077-1086.
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2021
Brosi, Deena Local public health system capacity and its relationship to COVID-19 mortality patterns across the U.S. Health Services Research. 56, (S2), 76-76.
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2021
Brosi, Deena Local Public Health System Capacity and Its Relationship to COVID-19 Mortality Patterns across the U.S.. Academy Health Annual Research Meeting. Virtual.
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2021
Hogg-Graham, Rachel, Waters, Teresa, Mays, Glen Longitudinal Trends in Insurer Participation in Multisector Population Health Networks. Academy Health Annual Research Meeting. Virtual.
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2021
Mays, Glen, Dobbins, Jessica, Franklin, Stephanie Humana's Bold Goal: A Health Plan-Sponsored Population Health Initiative to Address Social Determinants of Health. Robert Wood Johnson Foundation's Systems for Action.
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2021
Mays, Glen, Dobbins, Jessica, Franklin, Stephanie, Renda, Andrew, Hagan, Angela, Brown, Courtney, Prewitt, Todd, Waters, Teresa, Lawrence, Prybil Nudges for networks: Community-level effects of a health plan initiative to address social determinants. Health Services Research. 56, (S2), 82-83.
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2021
Mays, Glen, Franklin, Stephanie, Renda, Andrew, Hagan, Angela, Brown, Courtney, Prewitt, Todd, Waters, Teresa, Lawrence, Prybil Nudges for Networks: Community-Level Effects of a Health Plan Initiative to Address Social Determinants. Academy Health Annual Research Meeting. Virtual.
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2021
Mehari, Elleni Equity-Focused Efforts of Local Public Health Systems and Disparities in Community Health. Academy Health Annual Research Meeting. Virtual.
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2021
Owsley, Kelsey, Bauer, Kyla, Mays, Glen Evaluating Inclusiveness in Multi-Sector Community Health Networks: The Case of Tribal Organizations. Academy Health Annual Research Meeting. Virtual.
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2021
Owsley, Ms. Kelsey, Bauer, Kyla, Mays, Glen Evaluating inclusiveness in multi-sector community health networks: The case of tribal organizations. Health Services Research. 56, (S2), 75-75.
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2021
Quinlan, Taryn, Mays, Glen Bridging the Gaps: Law Enforcement Engagement in Local Public Health Networks across the Rural-Urban Continuum. Academy Health Annual Research Meeting. Virtual.
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2020
Hamer, Mika K., Mays, Glen P. Public health systems and social services: Breadth and depth of cross-sector collaboration. American Journal of Public Health. 110, (S2), S232-S234.
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2020
Hamer, Mika, Mays, Glen Public Health Systems and the Social Services Sector: Assessing the Breadth and Depth of Cross-Sector Collaboration. Academy Health Annual Research Meeting. Virtual.
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2020
Hogg-Graham, R., Carman, A., Mays, G.P., Zephyr, P.M.D. Geographic variation in the structure of Kentucky's population health systems: An urban, rural, and Appalachian comparison. Journal of Appalachian Health. 2, (3), .
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2020
Hoover, Anna G., Zephyr, Pierre Classifying community organizational health communication networks. Journal of Public Health Management and Practice. 27, (5), 513-520.
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2020
Mays, Glen P. Harmonizing Systems to Achieve Health Equity: Novel Strategies to Align Medical, Social and Public Health Sectors. American Public Health Association Annual Meeting. San Francisco, CA.
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2020
Mays, Glen P. Aligning Delivery and Financing Systems Across Sectors To Improve Hypertension Control and other Public Health Priorities. National Institutes of Health (NIH) Workshop. Bethesda, MD.
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2020
Mays, Glen P. Crowding in or Crowding out? Uncompensated Care and Hospital Participation in Community Health Networks. Robert Wood Johnson Foundation Systems for Action Research-in-Progress Webinar Series. Denver, CO.
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2020
Mays, G., Mamaril, C. Crowding in? Reduced uncompensated care costs lead to enhanced community health activities. Health Services Research. 55, (S1), 127-128.
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2020
Owsley, Kelsey, Hamer, Mika, Mays, Glen The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014-2018. Academy Health Annual Research Meeting. Virtual.
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2020
Owsley, Kelsey, Mays, Glen The Landscape of Public Health Delivery Systems Over 20 Years: A Latent Class Analysis. American Public Health Association Annual Meeting. Virtual.
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2020
Owsley, Kelsey M., Hamer, Mika K., Mays, Glen P. The growing divide in the composition of public health delivery systems in US rural and urban communities, 2014-2018. American Journal of Public Health. 110, (S2), .
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2019
Hogg-Graham, Rachel, Mays, Glen, Mamaril, Cezar Measuring Variation in the Association between Hospital Cross-Sector Collaboration and Uncompensated Care. Academy Health Annual Research Meeting. Washington, DC.
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2019
Hogg-Graham, Rachel, Mays, Glen, Mamaril, Cezar The Effect of State Medicaid Expansion on Hospital Contributions to Population Health and Community Partnerships. Academy Health Annual Research Meeting. Washington, DC.
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2019
Mays, Glen P. The Implementation Science of Aligning Medical, Social and Public Health Delivery Systems to Improve Population Health. Implementation Science Works in Progress. Aurora, CO.
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2019
Mays, Glen P. Changes in Hospital Contributions to Multi-Sector Public Health Networks. University of Minnesota Symposium Honoring Professor Douglas Wholey. Minneapolis, MN.
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2019
Mays, Glen P. The Economics of Multi-Sector Community Health Networks: Selection, Substitution and Spill-overs. Johns Hopkins University Health Economics Seminar Series. Baltimore, MD.
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2019
Mays, Glen P. Using Information, Economics and Networks to Align Health and Social Systems. Interdisciplinary Association for Population Health Science Annual Meeting. Seattle, WA.
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