Building the evidence for decision-making: The relationship between local public health capacity and community mortality

A.P. Schenck, A.M. Meyer, T.-M. Kuo and D. Cilenti

American Journal of Public Health, 2015, vol. 105, S211-S216

Abstract: Objectives: We examined associations between local health department (LHD) spending, staffing, and services and community health outcomes in North Carolina. Methods: We analyzed LHD investments and community mortality in North Carolina from 2005 through 2010. We obtained LHD spending, staffing, and services data from the National Association of City and County Health Officials 2005 and 2008 profile surveys. Five mortality rates were constructed using Centers for Disease Control and Prevention mortality files, North Carolina vital statistics data, and census data for LHD service jurisdictions: heart disease, cancer, diabetes, pneumonia and influenza, and infant mortality. Results. Spending, staffing, and services varied widely by location and over time in the 85 North Carolina LHDs. A 1%increase in full-time-equivalent staffing (per 1000 population) was associated with decrease of 0.01 infant deaths per 1000 live births (P

Keywords: decision making; economics; government; human; mortality; North Carolina; personnel management; public health service; retrospective study; standards; statistics and numerical data, Decision Making; Humans; Local Government; Mortality; North Carolina; Personnel Staffing and Scheduling; Public Health Administration; Public Health Practice; Retrospective Studies (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302500_7

DOI: 10.2105/AJPH.2014.302500

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