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Building the evidence for decision-making: The relationship between local public health capacity and community mortality

Author

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  • Schenck, A.P.
  • Meyer, A.M.
  • Kuo, T.-M.
  • Cilenti, D.

Abstract

Objectives: We examined associations between local health department (LHD) spending, staffing, and services and community health outcomes in North Carolina. Methods: We analyzed LHD investments and community mortality in North Carolina from 2005 through 2010. We obtained LHD spending, staffing, and services data from the National Association of City and County Health Officials 2005 and 2008 profile surveys. Five mortality rates were constructed using Centers for Disease Control and Prevention mortality files, North Carolina vital statistics data, and census data for LHD service jurisdictions: heart disease, cancer, diabetes, pneumonia and influenza, and infant mortality. Results. Spending, staffing, and services varied widely by location and over time in the 85 North Carolina LHDs. A 1%increase in full-time-equivalent staffing (per 1000 population) was associated with decrease of 0.01 infant deaths per 1000 live births (P

Suggested Citation

  • Schenck, A.P. & Meyer, A.M. & Kuo, T.-M. & Cilenti, D., 2015. "Building the evidence for decision-making: The relationship between local public health capacity and community mortality," American Journal of Public Health, American Public Health Association, vol. 105, pages 211-216.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302500_7
    DOI: 10.2105/AJPH.2014.302500
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    Cited by:

    1. Jambroes, Marielle & Lamkaddem, Majda & Stronks, Karien & Essink-Bot, Marie-Louise, 2015. "Enumerating the preventive youth health care workforce: Size, composition and regional variation in the Netherlands," Health Policy, Elsevier, vol. 119(12), pages 1557-1564.
    2. Bernet, Patrick M. & Gumus, Gulcin & Vishwasrao, Sharmila, 2018. "Effectiveness of public health spending on infant mortality in Florida, 2001–2014," Social Science & Medicine, Elsevier, vol. 211(C), pages 31-38.
    3. Wells, Rebecca & Cilenti, Dorothy & Issel, L. Michele, 2015. "The political economy of a public health case management program's transition into medical homes," Social Science & Medicine, Elsevier, vol. 145(C), pages 98-106.

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