Institutional and Economic Determinants of Public Health System Performance.

This article examines the association between institutional, financial and community characteristics of local public health systems and their performance of essential services. It discusses the results of a preliminary study drawing on data from seven states. The researchers conclude that reconfiguring the organization and financing of public health systems in some communities — such as through consolidation and enhanced intergovernmental coordination — may hold promise for improving the performance of essential services.

Available online (pdf): http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1470518/pdf/0960523.pdf

It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.

  • Accreditation / Essential Services: The survey instrument contained questions that correspond to each of the 10 essential services of public health.
  • Research and Evaluation: This preliminary study of the relationship between institutional, financial and community characteristics and performance of public health essential services used data collected from seven states.

 
This resource is also linked to the Roadmap. Select a link below to read more about each area.

  • Monitoring and Improving / Phase Three: This article concludes that reconfiguring the organization and financing of public health systems in some communities, through consolidation and enhanced intergovernmental coordination, may improve the performance of essential services.

 
Mays, G., Smith, S., Ingram R., Racster, L., Lamberth, C., & Lovely E. (2009). Institutional and Economic Determinants of Public Health System Performance. American Journal of Public Health, 96(3), 523-531.