 The impacts of local health department consolidation on public health expenditures: Evidence from OhioJ. Hoornbeek, M.E. Morris, M. Stefanak, J. Filla, R. Prodhan and S.A. Smith American Journal of Public Health, 2015, vol. 105, S174-S180 Abstract: We examined the effects of local health department (LHD) consolidations on the total and administrative expenditures of LHDs in Ohio from 2001 to 2011. We obtained data from annual records maintained by the state of Ohio and through interviews conducted with senior local health officials and identified 20 consolidations of LHDs occurring in Ohio in this time period. We found that consolidating LHDs experienced a reduction in total expenditures of approximately 16%(P=.017), although we found no statistically ignificant change in administrative expenses. County health officials who were interviewed concurred that their consolidations yielded financial benefits, and they also asserted that their consolidations yielded public health service improvements. Keywords: cost; economics; government; health care cost; human; organization and management; public health service; statistics and numerical data; United States, Costs and Cost Analysis; Efficiency, Organizational; Health Expenditures; Humans; Local Government; Ohio; Public Health Administration (search for similar items in EconPapers) Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302450_8 Access Statistics for this article American Journal of Public Health is currently edited by Alfredo Morabia More articles in American Journal of Public Health from American Public Health Association |
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