Cross-Jurisdictional Resource Sharing in Changing Public Health Landscape: Contributory Factors and Theoretical Explanations

Journal of Public Health Management and Practice : JPHMP
Gulzar H ShahWilliam C Livingood

Abstract

Local health departments (LHDs) are striving to meet public health needs within their jurisdictions, amidst fiscal restraints and complex dynamic environment. Resource sharing across jurisdictions is a critical opportunity for LHDs to continue to enhance effectiveness and increase efficiency. This research examines the extent of cross-jurisdictional resource sharing among LHDs, the programmatic areas and organizational functions for which LHDs share resources, and LHD characteristics associated with resource sharing. Data from the National Association of County & City Health Officials' 2013 National Profile of LHDs were used. Descriptive statistics and multinomial logistic regression were performed for the 5 implementation-oriented outcome variables of interest, with 3 levels of implementation. More than 54% of LHDs shared resources such as funding, staff, or equipment with 1 or more other LHDs on a continuous, recurring basis. Results from the multinomial regression analysis indicate that economies of scale (population size and metropolitan status) had significant positive influences (at P ≤ .05) on resource sharing. Engagement in accreditation, community health assessment, community health improvement planning, quality improv...Continue Reading

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Citations

Nov 18, 2016·American Journal of Public Health·Gulzar H ShahTimothy W Van Wave
Sep 30, 2016·Journal of Public Health Management and Practice : JPHMP·Kay Lovelace, Gulzar H Shah
Mar 4, 2017·Journal of Public Health Management and Practice : JPHMP·Theresa WattsTracy Mrochek
Aug 1, 2020·Journal of Public Health Management and Practice : JPHMP·Gulzar H ShahJ P Leider
Oct 9, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·M Elizabeth GyllstromAdam Atherly

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