DOI: 10.3886/icpsr37223.v1
title: ASTHO Forces of Change Survey, United States, 2017
title: Version 1

description: 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.
description: 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.
description: 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.
description: 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..
description: Presence of Common Scales: Several Likert-type scales were used.
description: 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.
description: Datasets: DS1: ASTHO Forces of Change Survey, United States, FY 2016-2017
description: Forces of Change Survey Series
description: web-based survey
description: 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. Smallest Geographic Unit: State/Territory