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

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File Language:
English


Details

  • Alternative Title:
    J Public Health Manag Pract
  • Personal Author:
  • Description:
    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-post design regression model to evaluate changes in LHD expenditures one, two, and six years into the new state program. To address potential endogeneity in the model, we repeated all three analyses using two-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 sub-population 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.

  • Subjects:
  • Source:
    J Public Health Manag Pract. 28(2):E577-E585
  • Pubmed ID:
    34475369
  • Pubmed Central ID:
    PMC8810718
  • Document Type:
    Journal Article
  • Funding:
    CC999999/ImCDC/Intramural CDC HHSUnited States/
  • Volume:
    28
  • Issue:
    2
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:904c0fb562f9c58ed118e85435cc99d724f0a71d8f3db224f54bad4bd986d0f8e700b44efb29fd47e24f7ec0a7f3d625797551ba937d3935f2d03bfa249e433e
  • Download URL:
  • File Type:
    Filetype[PDF - 96.08 KB ]
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