Environmental health practice: statistically based performance measurement.

OBJECTIVES: State environmental and health protection agencies have traditionally relied on a facility-by-facility inspection-enforcement paradigm to achieve compliance with government regulations. We evaluated the effectiveness of a new approach that uses a self-certification random sampling design...

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Publicado en:American Journal of Public Health Vol. 97; no. 5; pp. 819 - 825
Autores principales: Enander RT, Gagnon RN, Hanumara RC, Park E, Armstrong T, Gute DM
Formato: equations & formulas research tables/charts Journal Article
Publicado: American Public Health Association May2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2007
      vid: 97
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      pub: American Public Health Association
      place: Washington, District of Columbia
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        atl: Environmental health practice: statistically based performance measurement.
      aug:
        au:
          Enander RT
          Gagnon RN
          Hanumara RC
          Park E
          Armstrong T
          Gute DM
        affil: Rhode Island Department of Environmental Management, Office of Technical and Customer Assistance, Providence, RI 02908, USA. richard.enander@dem.ri.gov
      sug:
        subj:
          Environmental Health Practice Standards
          Industry Standards
          Organizational Compliance
          Air Pollution Prevention and Control
          Certification
          Confidence Intervals
          Hazardous Materials
          Motor Vehicles
          Quantitative Studies
          Rhode Island
          Safety
          Sewage
          Human
      ab: OBJECTIVES: State environmental and health protection agencies have traditionally relied on a facility-by-facility inspection-enforcement paradigm to achieve compliance with government regulations. We evaluated the effectiveness of a new approach that uses a self-certification random sampling design. METHODS: Comprehensive environmental and occupational health data from a 3-year statewide industry self-certification initiative were collected from representative automotive refinishing facilities located in Rhode Island. Statistical comparisons between baseline and postintervention data facilitated a quantitative evaluation of statewide performance. RESULTS: The analysis of field data collected from 82 randomly selected automotive refinishing facilities showed statistically significant improvements (P<.05, Fisher exact test) in 4 major performance categories: occupational health and safety, air pollution control, hazardous waste management, and wastewater discharge. Statistical significance was also shown when a modified Bonferroni adjustment for multiple comparisons was performed. CONCLUSIONS: Our findings suggest that the new self-certification approach to environmental and worker protection is effective and can be used as an adjunct to further enhance state and federal enforcement programs.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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