Dance of Dollars: State Funding Effects on Local Health Department Expenditures.

ABSTRACT:

Objective

We examined changes in total local health department (LHD) expenditures in the state of Washington following introduction of a new state funding program to support core public health services and infrastructure.

Methods

We used a pre/posttest design regression model to evaluate changes in LHD expenditures 1, 2, and 6 years into the new state program. To address potential endogeneity in the model, we repeated all 3 analyses using 2-stage least squares regression.

Results

In the base case, overall spending among LHDs significantly increased with receipt of the new state funds in the first years of the program (2008 and 2009). However, those increases were not sustained over the longer term (2013). In subpopulation analyses, total LHD spending increased more am

SUBMITTER: Viall AH 

PROVIDER: S-EPMC8810718 | biostudies-literature | 2022 Mar-Apr 01

REPOSITORIES: biostudies-literature