Likewise, research on generic public health
practice2–9,11,19 has primarily focused solely on
the performance of public health practice
(processes) rather than on the relationships
between practice performance and other system
components such as structural capacity.
For example, whereas some researchers have
examined expenditures with respect to essential
public health services,23–28 they have not
focused on the relationship between these expenditures
and actual public health practice
performance. However, others have attempted
to examine the relationship between
public health practice and structural capacity29,30
and, in one instance, between public
health practice and aspects of the macro context
as well.30 Only 1 report has examined
the relationship between process performance
and measures of community health status,
and it revealed no consistent relationship between
process performance and outcomes.31
It is li