About the Study:
This retrospective cohort study was based on the 2005 and 2010 surveys of local health departments (LHDs) conducted by the National Association of County and City Health Officials. The study explored the financial situation of LHDs from a resilence standpoint, focusing specifically on two questions:
(1) What are the organizational characteristics of LHDs that weathered the economic crisis of 2008, and
(2) Are there potential modifiable factors, including pubic and private sources and uses of resources, that can protect LHDs from job losses and budget cuts during periods of future economic stress?
— Excerpt from Frontiers in Public Health Services and Systems Research