Does Federal Assistance to Health Departments for Bioterrorism Preparedness Improve Local Public Health Activity? An Empirical Evaluation Using the 2005 NACCHO Profile of Local Health Departments

Avery George H and Wright Tim
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Avery George H: Purdue University
Wright Tim: University of Wisconsin - Stevens Point

Journal of Homeland Security and Emergency Management, 2010, vol. 7, issue 1, 21

Abstract: Advocates of federal bioterrorism preparedness programs have argued that the resulting infusion of resources into the public health system will result in improvement in the overall capacity of the public health system. This study tests that theory by modeling the impact of federal preparedness funds on local public health activities, controlling for local leadership, jurisdiction, and other resources. The study utilizes data from 850 local health departments responding to the 2005 National Association of City and County Health Officers (NACCHO) Survey of Local Health Departments. Results indicate that preparedness funds from the Centers for Disease Control and Prevention (CDC) have an indirect positive impact on preparedness activities, a positive direct impact on local epidemiology programs, and no significant relationship to other measures of public health activity, casting doubt on the existence of broad improvements to the public health system. Findings indicate that local factors play a varied but minor role in determining local health department activities.

Keywords: public health finance; bioterrorism; local health departments; public health system; intergovernmental relations; federalism (search for similar items in EconPapers)
Date: 2010
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DOI: 10.2202/1547-7355.1630

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