This article documents a “big picture” perspective of resource sharing among health departments across the country (NACCHO 2010 Profile Survey). The reported findings indicate that about one-half of all LHDs are engaged in resource sharing. The extent of sharing was lower for those serving larger populations, with city jurisdictions, or of larger size. Sharing was more extensive for state-governed LHDs, those covering multiple jurisdictions, states with centralized governance, and in instances of financial constraint.
Vest, J., & Shah, G. (2012). The Extent of Interorganizational Resource Sharing Among Local Health Departments: The Association With Organizational Characteristics and Institutional Factors. Journal of Public Health Management and Practice, 18(6), 551-560.