To understand the relationship between self-assessed performance on ESs and sources of funding, the Florida Public Health Practice-Based Research Network conducted a study of Florida county health departments (CHDs).
Ten ESs provide the basic organizing structure for the National Public Health Performance Standards and play a role in the measurement of public health functions. This study used primary and secondary data analysis to examine the relationship between ESs and revenue sources, including categorical funding, fees for services and programs, noncategorical general revenue, and other sources. Using an online survey tool, 50 of Florida’s 64 CHDs self-assessed their current ES performance.
Overall, self-assessment varied greatly over the CHDs, yet these findings also demonstrate that the capacity of CHDs to provide ESs is dependent on funding for those services. In lean budget times, funding sources should be considered for ESs.