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. 2019 Feb 7;25(2 Suppl):S16–S25. doi: 10.1097/PHH.0000000000000932

TABLE 5. Training Needs: Percentage of State Health Agency Central Office Staff Who Identify as High Importance/Low Skill by Skill Domain.

Nonsupervisors Supervisors/Managers Executives Total Significant Differencesa
Effective communication 19% (18-20%) 14% (12-16%) 5% (3-7%) 17% (16%-18%) 1, 2, 3
Data for decision making 25% (24-26%) 22% (21-24%) 23% (18-27%) 24% (24%-25%) 1
Cultural competency 30% (29-31%) 36% (33-38%) 34% (30-38%) 32% (31%-33%) 1
Budget and financial management 53% (51-55%) 49% (48-50%) 47% (41-53%) 52% (50%-53%) 1, 2
Change management 40% (39-42%) 35% (33-38%) 25% (19-32%) 38% (38%-39%) 1, 2, 3
Systems and strategic thinking 44% (42-45%) 49% (48-51%) 41% (36-47%) 45% (45%-46%) 1, 3
Develop a vision for a healthy community 40% (38-42%) 44% (41-46%) 36% (31-40%) 41% (40%-42%) 1, 3
Cross-sectoral partnerships 34% (33-36%) 35% (33-38%) 26% (21-30%) 34% (33%-35%) 2, 3

an ranges: 12 618 to 16 529; estimates shown as estimate (95% confidence interval); 1: Statistically significant difference at P < .05 between nonsupervisors and supervisors/mangers; 2: Statistically significant difference at P < .05 between nonsupervisors and executives; 3: Statistically significant difference at P < .05 between supervisors/managers and executives. High importance/low skill identified as those who have at least 1 skill per category identified both as somewhat/very important in their day-to-day work and as unable to perform/beginner in said skill.