The availability of essential public health services varies widely across states and communities. Despite rising national concerns about public health threats ranging from bioterrorism to obesity, little evidence currently exists to inform decisions about how best to organize, finance, and deliver these services. To begin building this evidence, this project will conduct the first national study of the structure, composition, and dynamics of public health delivery systems, defined as the array of governmental and nongovernmental organizations that contribute to the provision of public health services at the state and community levels. The objectives of the study are to: (1) develop an evidence-based typology of public health system composition and structure that allows assessments of how systems vary across communities and change over time; (2) identify the political, economic, institutional, and sociocultural forces that contribute to this variation and change; and (3) identify the effects of system characteristics on the availability and effectiveness of essential public health services.
Amount Awarded $276,310.00
Awarded on: 7/14/2005
Time frame: 8/1/2005 - 1/31/2008
Grant Number: 53229