Institutional and Economic Determinants of Public Health System Performance.

Resource Summary

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.