Governance and Fiscal Issues

Composition and Duties of Local Boards of Health: Findings from a 2011 National Survey

This article describes the results of a 2011 national online and written survey of the composition and duties of local boards of health in the United States. Responses were received from 363 boards of health in 35 states and described the boards’ demographics, roles and responsibilities, orientation and training, and concerns and needs. Available online: […]

Public Health Services and Systems Research: Current State of Finance Research

This article discusses the current state of public health finance research through a review of public health finance literature. It chronicles important lessons learned from public health finance research to date, discusses the challenges faced by those seeking to conduct financial research on the public health system, and discusses the role of public health finance […]

Measuring the authority of local public health directors in the context of organizational structure: An exploratory, multimodal approach

This article examines the relationship between organizational structure and authority of local public health directors based on data collected from Minnesota local health directors. It illustrates that emerging practice-based research networks can successfully collaborate on small-scale research projects with immediate application for systems development. Study findings are reportedly being used by local public health officials […]

Reorganizations of health agencies by local government in American urban centers: What do they portend for “public health”?

This article from the 1970’s identifies the longstanding efforts to reform through reorganization of public health departments and public hospitals without addressing the underlying problems of an eroded tax base, an indifferent federal policy, and intra-professional disputes. Available online: http://www.ncbi.nlm.nih.gov/pubmed/327345

Cross-Jurisdictional Sharing: What Every Board of Health Member Needs to Know

This presentation, made during the National Association of Local Boards of Health annual meeting on August 8, 2012 in Atlanta, GA, provides an overview of public health’s past and present, highlights current issues facing local health departments, discusses cross jurisdictional sharing (CJS) of public health services efficiencies and capacities, and introduces the Center for Sharing […]

Final Report on the Feasibility of Administration Consolidation Among Health Districts 2, 4, and Central Michigan

This report, prepared by a steering committee comprised of county commissioners, health officers, public health administrators, medical directors and an outside consulting firm, provides results from a fiscal- and programs-related review focused on consolidation options for three health districts in Michigan. E-mail phsharing@khi.org for more information about this publication.

Final Report on the Feasibility of the Consolidation of the Findlay City Health District and the Hancock County (Ohio) General Health District into a Combined General Health District

This report, funded in part by NALBOH, documents a feasibility study of issues and options involved in the creation of a city / county health district consolidation. Call the Center for Sharing Public Health Services for more information about this publication.