Wiser Investment for a Healthier Future

Teutsch, Steven M.; Baciu, Alina; Mays, Glen P.; Hansen, Mary Mincer; Geller, Amy

doi:10.1097/phh.0b013e31825bdf09

Cited by 4 publications

(7 citation statements)

References 2 publications

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“…This review did, however, find further cuts in investment to public health and the resulting challenges 10,19,26,35,40,43,44. Of note was how the ACA led to the 2010 creation of the $15 billion Prevention and Public Health Fund—which represented less than 2% of the ACA costs—but was subsequently victim of a series of significant cuts totaling $8.5 billion by Congress across fiscal years 2012-2016, as well as raids on the Prevention and Public Health Fund for health care–related activities and provider payments 44,45…”

Section: Resultsmentioning

confidence: 99%

“…21,40,51,52 Several studies noted untapped sources of new revenue such as additional nongovernmental or private sector investment as well as a national medical care services tax that could support a sustainable public health financing structure. 45,53,54 Other reports discussed the current scarcity of resources for public health and the potential for reallocation of resources toward populationbased services. 28,36,46,50 The authors did not identify any literature that confirmed the adoption of explicit life expectancy or per capita health expenditure targets by the DHHS Secretary (R01).…”

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

“…Research, however, clearly shows strong associations between local public health spending and health, well-being, and mortality outcomes. 17,22,43,45,[55][56][57] Studies have shown improvements to life expectancy following public health involvement, such as several studies identifying improved outcomes to the public's health from E321 minimal investment, while others found reductions to mortality from local investment. 32,[58][59][60] These observations considered, the authors did not find clear evidence of official action taken toward this recommendation.…”

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

“…10,19,26,35,40,43,44 Of note was how the ACA led to the 2010 creation of the $15 billion Prevention and Public Health Fund-which represented less than 2% of the ACA costs-but was subsequently victim of a series of significant cuts totaling $8.5 billion by Congress across fiscal years 2012-2016, as well as raids on the Prevention and Public Health Fund for health care-related activities and provider payments. 44,45 For the local and state levels, the authors found limited evidence of the development of alternative capacity for clinical care by public health departments called for by the IOM report (R04). Materials described a complex commercial and political landscape at the local level, which offers both facilitating factors and barriers to direct service provision.…”

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

See 3 more Smart Citations

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Orr

Leider

Singh

et al. 2020

Journal of Public Health Management &Amp; Practice

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Context: Governments at all levels work to ensure a healthy public, yet financing, organization, and delivery of public health services differ across the United States. A 2012 Institute of Medicine Finance report provided a series of recommendations to ensure a high-performing and adequately funded public health infrastructure. Objectives: This review examines the influence of the Finance report's 10 recommendations on public health policy and practice. Design: This review utilized peer-reviewed and gray literature published since 2012. Eligibility Criteria: Documents that address at least one of the Finance report's 10 recommendations and contain information on either official actions taken in response to the Finance report or evidence of the report's influence on the practice community. Results: Of 2394 unique documents found, a total of 56 documents met the eligibility criteria. Review of these 56 documents indicated that the most substantial activity related to the recommendations was focused on the "minimum package of public health services" concept and establishment of a uniform chart of accounts. Discussion: Progress has been mixed on the Finance report recommendations. Improved tracking and auditing of public health activity appears to be advancing, yet financial benchmarks remain unmet. Challenges remain in determining actual investment in public health and equitable resource allocation approaches. State and local health department use of cost estimation methodology and a uniform chart of accounts tool has contributed to an increase in understanding and improvement in public health spending. Conclusions:The Finance report has served as a strong impetus for advocating for an increased investment in governmental public health. Efforts are bolstered by informed public health practitioners and stakeholders but often stymied by policy makers who must balance complex competing issues and priorities. Although many successes have occurred, further work is needed toward improving investment in the nation's public health.

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Section: Resultsmentioning

confidence: 99%

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

Section: Minimal Documentation-r01 R04 R06 and R08-r10mentioning

confidence: 99%

See 2 more Smart Citations

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Orr

Leider

Singh

et al. 2020

Journal of Public Health Management &Amp; Practice

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show abstract

“…Mandated services, however, are not always adequately funded, given generally low levels of investment in public health. 1 In North Carolina, levels of public funding for mandated services are often lower than the amount required by LHDs to provide them. North Carolina is organized as a decentralized state for public health, and local and state investments in public health services vary widely.…”

mentioning

confidence: 99%

Exploring Costing Methods for Environmental Health Services in North Carolina

et al. 2016

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All local health departments in North Carolina are mandated to provide a defined set of environmental health services, yet few have the tools to understand the costs incurred in delivering these services. The objectives of this study were to (1) derive cost estimates for 2 commonly provided environmental health services-food and lodging inspections and on-site water services-and (2) explore factors that drive variations in costs, focusing on the roles of economies of scale and scope. Using data from 15 local health departments in North Carolina, we found that costs varied substantially. A bivariate analysis found evidence of economies of scale: higher volumes of services were associated with lower costs per service. Providing a greater scope of services, however, was not consistently associated with reduced costs. In-depth cost data provide public health officials with key information when deciding how to best serve their communities.

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Local Health Departments’ Costs of Providing Environmental Health Services

Singh¹,

Winterbauer²,

Tucker³

et al. 2015

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Wiser Investment for a Healthier Future

Cited by 4 publications

References 2 publications

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Exploring Costing Methods for Environmental Health Services in North Carolina

Local Health Departments’ Costs of Providing Environmental Health Services

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