ASTHO Forces of Change Survey, United States, 2017 (ICPSR 37223)
Version Date: Jul 30, 2019 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Karl Ensign, Association of State and Territorial Health Officials (U.S.)
Series:
https://doi.org/10.3886/ICPSR37223.v2
Version V2 (see more versions)
Summary View help for Summary
The Forces of Change Survey is an annual survey completed by the state and territorial health agencies that comprise the membership of the Association of State and Territorial Health Officials (ASTHO). ASTHO is the national nonprofit organization representing public health agencies in the United States, the U.S. territories and freely associated states, and the District of Columbia, and the over 100,000 public health professionals these agencies employ. The Forces of Change Survey primarily focuses on emergent and rapidly changing trends. The data collected sought to determine the current climate at state and territorial health agencies as it related to budget, workforce, accreditation, and special interest topics. The 2017 Forces of Change Survey examined the following topics:
- Health agency resources
- Activities related to the Zika virus
- Opioid epidemic response
- Communicating the value of public health
- Efforts to advance health equity
The web-based survey, fielded by ASTHO in May of 2017, was administered to state and territorial health agencies through their senior deputies. A total of 52 health agencies responded (from 46 states, Washington, D.C., and five territories and freely associated states). Data included as part of this collection includes one dataset with 122 variables for 52 cases.
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Funding View help for Funding
Subject Terms View help for Subject Terms
Geographic Coverage View help for Geographic Coverage
Smallest Geographic Unit View help for Smallest Geographic Unit
State/Territory
Distributor(s) View help for Distributor(s)
Time Period(s) View help for Time Period(s)
Date of Collection View help for Date of Collection
Data Collection Notes View help for Data Collection Notes
- For additional information on the ASTHO Forces of Change Survey, United States, 2017 study, please visit the ASTHO website.
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The National Association of County and City Health Officials (NACCHO) publishes their own Forces of Change report, which can be used in conjunction with the state-level data produced by the Association for State and Territorial Health Officials (ASTHO). For additional information on the NACCHO Forces of Change Surveys, please visit the NACCHO website. Additionally, users can reference the following NACCHO Forces of Change studies:
- Forces of Change Survey, United States, 2014, Restricted-Use Level 1 Data (ICPSR 36153)
- Forces of Change Survey, United States, 2014, Restricted-Use Level 2 Data (ICPSR 37139)
- Forces of Change Survey, United States, 2015, Restricted-Use Level 1 Data (ICPSR 37069)
- Forces of Change Survey, United States, 2015, Restricted-Use Level 2 Data (ICPSR 37140)
- Forces of Change Survey, United States, 2017, Restricted-Use Level 1 Data (ICPSR 37103)
- Forces of Change Survey, United States, 2017, Restricted-Use Level 2 Data (ICPSR 37141)
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The time period for this data collection expands beyond 2017 in order to reflect the 2016-2017 fiscal year of the health agencies surveyed.
Study Purpose View help for Study Purpose
The Association of State and Territorial Health Officials (ASTHO) conducted its third Forces of Change Survey in May of 2017, in order to determine the current climate at state and territorial health agencies as it related to budget, workforce, accreditation, and special interest topics. In 2014, ASTHO began monitoring the current climate at member health agencies related to budget, workforce, billing capacity, and other changes as a result of the implementation of the Affordable Care Act.
Study Design View help for Study Design
The Forces of Change Survey is a census of state and territorial public health agencies. The web-based survey was administered to state and territorial health agencies through their senior deputies. Forces of Change data is collected approximately yearly.
Time Method View help for Time Method
Universe View help for Universe
State, territorial, and freely associated state health agencies in the United States, the U.S. territories and freely associated states, and the District of Columbia.
Unit(s) of Observation View help for Unit(s) of Observation
Data Type(s) View help for Data Type(s)
Mode of Data Collection View help for Mode of Data Collection
Response Rates View help for Response Rates
A total of 52 health agencies (from 46 states, D.C., and 5 territories and freely associated states) responded, for an overall response rate of 88 percent, and a 92 percent response rate for the fifty states and D.C.
Presence of Common Scales View help for Presence of Common Scales
Several Likert-type scales were used.
HideOriginal Release Date View help for Original Release Date
2019-06-03
Version History View help for Version History
2019-07-30 Updated study title from "ASTHO Forces of Change Survey, United States, FY 2016-2017" to "ASTHO Forces of Change Survey, United States, 2017".
2019-06-03 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:
- Created online analysis version with question text.
- Performed recodes and/or calculated derived variables.
- Checked for undocumented or out-of-range codes.
Notes
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.

This study is maintained and distributed by the Health and Medical Care Archive (HMCA). HMCA is the official data archive of the Robert Wood Johnson Foundation.