Cross-Jurisdictional Resource Sharing and the Scope and Quality of Public Health Services

These PowerPoint slides are from a webinar presented by the Dissemination and Implementation Research to Improve Value (DIRECTIVE) project. This multistate study conducted in Connecticut and Massachusetts examined relationships between service delivery models and the breadth, cost and quality of local public health services. Two service delivery models were selected for inclusion (independent health departments and comprehensive shared service models). Key findings are presented, which highlight advantages and disadvantages of both models and implications for public health practice and research.

Available online:

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

  • Research and Evaluation: This study adds to limited research on effective and efficient service delivery models for small and mid-size jurisdictions.

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