Dance of Dollars: State Funding Effects on Local Health Department Expenditures.

Szczegóły
Abstrakt

Tytuł:: Dance of Dollars: State Funding Effects on Local Health Department Expenditures.
Autorzy:: Viall AH; Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Viall); School of Nursing, University of Washington, Seattle, Washington (Dr Bekemeier); Department of Health Management and Policy, Richard M. Fairbanks School of Public Health, Indiana University, Bloomington, Indiana (Dr Yeager); and Louisiana Public Health Institute, New Orleans, Louisiana (Dr Carton).
Bekemeier B
Yeager V
Carton T
Źródło:: Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2022 Mar-Apr 01; Vol. 28 (2), pp. E577-E585.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1995-
MeSH Terms:: Health Expenditures*
Local Government*
Public Health ; United States ; Washington
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Grant Information:: CC999999 United States ImCDC Intramural CDC HHS
Entry Date(s):: Date Created: 20210903 Date Completed: 20220203 Latest Revision: 20230929
Update Code:: 20240105
PubMed Central ID:: PMC8810718
DOI:: 10.1097/PHH.0000000000001418
PMID:: 34475369
: Czasopismo naukowe

Objective: We examined changes in total local health department (LHD) expenditures in the state of Washington following introduction of a new state funding program to support core public health services and infrastructure.
Methods: We used a pre/posttest design regression model to evaluate changes in LHD expenditures 1, 2, and 6 years into the new state program. To address potential endogeneity in the model, we repeated all 3 analyses using 2-stage least squares regression.
Results: In the base case, overall spending among LHDs significantly increased with receipt of the new state funds in the first years of the program (2008 and 2009). However, those increases were not sustained over the longer term (2013). In subpopulation analyses, total LHD spending increased more among larger LHDs.
Conclusions: Between 2006 and 2013, new state investments in core public health functions increased Washington State LHD expenditures in the short term, but those increases did not persist over time. For public health financial modernization efforts to translate into public health infrastructure modernization successes, the way new investments are structured may be as important as the amount of funding added.
Competing Interests: The authors declare that they have no conflict of interest.
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