Getting what you pay for: Public health spending and the performance of essential public health services

Glen P. Mays, Megan C. McHugh, Kyumin Shim, Dennis Lenaway, Paul K. Halverson, Ramal Moonesinghe, Peggy Honoré

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

Governmental spending in public health varies widely across communities, raising questions about how these differences may affect the availability of essential services and infrastructure. Thisstudy used data from local public health systems that participated in the National Public Health Performance Standards Program pilot tests between 1999 and 2001 to examine the association between publichealth spending and the performance of essential public health services. Results indicated that performance varies significantly with both local and federal spending levels, even after controlling for other system and community characteristics. Some public health services appear more sensitive to theseexpenditures than others, and all services appear more sensitive to local spending than to state or federal spending. These findings can assist public health decision makers in identifying public healthfinancing priorities during periods of change in the resources available to support local public health infrastructure.

Original languageEnglish (US)
Pages (from-to)435-443
Number of pages9
JournalJournal of Public Health Management and Practice
Volume10
Issue number5
DOIs
StatePublished - Jan 1 2004
Externally publishedYes

Keywords

  • performance measurement
  • public health administration
  • public health financing

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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