Cross-Jurisdictional Sharing in Local Public Health Systems: Implications for Costs, Impact, and Management Capacity

Resource Summary

This research brief examined cross-jurisdictional sharing (CJS) among local health departments (LHDs) to assess CJS impacts on the volume, intensity, and unit costs of public health services. Analysis revealed that LHDs with CJS do not appear to spend any more or less per capita on services than those without CJS. However, some LHDs appear to be more efficient.