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In Brief This study describes the results of an analysis of the relationship between local public health agency performance and health outcomes. Findings support the model that local public health agency performance affects community health status, and depending on the outcome, performance contributions vary. New hypotheses are offered that could help determine how system performance affects health outcomes. Kanarek et al describe the results of an analysis of the relationship between local public health agency performance and health outcomes, and support the notion that LPHA performance affects county health status.
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Kanarek et al. (2006) studied this question.
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