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Expenditures for public health: Assessing historical and prospective trends

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  • Kinner, K.
  • Pellegrini, C.

Abstract

We integrated publicly available fiscal andbudgetarydata to assess historical and prospective trends in public health system funding at the federal, state, and local levels in relation to the recommended objectives outlined in the Institute of Medicine's definitive 2002 report. Although historical growth rates for public health expenditures at all levels were competitive with other major funding objects (requested or funded budget items), outlays for health care services and medical research dwarfed public health spending in absolute amounts. Competition for scarce discretionary resources, competing policy priorities, and protracted fiscal pressures willmake it difficult for public health systems to achieve the recommended objectives.

Suggested Citation

  • Kinner, K. & Pellegrini, C., 2009. "Expenditures for public health: Assessing historical and prospective trends," American Journal of Public Health, American Public Health Association, vol. 99(10), pages 1780-1791.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.142422_2
    DOI: 10.2105/AJPH.2008.142422
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    Cited by:

    1. Chia-Ching Chen & Tetsuji Yamada & John Smith, 2014. "An Evaluation of Healthcare Information on the Internet: The Case of Colorectal Cancer Prevention," IJERPH, MDPI, vol. 11(1), pages 1-18, January.
    2. Grembowski, David & Bekemeier, Betty & Conrad, Douglas & Kreuter, William, 2010. "Are local health department expenditures related to racial disparities in mortality?," Social Science & Medicine, Elsevier, vol. 71(12), pages 2057-2065, December.
    3. Hui Jin & Xinyi Qian, 2020. "How the Chinese Government Has Done with Public Health from the Perspective of the Evaluation and Comparison about Public-Health Expenditure," IJERPH, MDPI, vol. 17(24), pages 1-16, December.

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