Mortality rates fell between 1.1 percent and 6.9 percent for each 10 percent increase in local public health spending according to this study.
Public health encompasses a broad array of programs designed to prevent the occurrence of disease and injury within communities. But policy-makers have little evidence to draw on when determining the value of investments in these program activities, which currently account for less than 5 percent of U.S. health spending. The authors examine whether changes in spending by local public health agencies over a 13-year period contributed to changes in rates of community mortality from preventable causes of death, including infant mortality and deaths due to cardiovascular disease, diabetes and cancer.
The study found that mortality rates fell between 1.1 percent and 6.9 percent for each 10 percent increase in local public health spending. These results suggest that increased public health investments can produce measurable improvements in health, especially in low-resource communities. However, more money by itself is unlikely to generate significant and sustainable health gains; improvements in public health practices are needed as well.
- 1. The Ongoing Quality Improvement Journey
- 2. A Road Map for Improving the Performance of Performance Measures
- 3. The Trade-Off Among Quality, Quantity, and Cost
- 4. Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
- 5. Preventing Bloodstream Infections
- 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
- 7. Measuring Health Care Performance Now, Not Tomorrow
- 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
- 9. The Importance of Transitional Care in Achieving Health Reform
- 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
- 11. A Comparative Study of 11 Local Health Department Organizational Networks
- 12. Public Health Performance
- 13. A Self-Assessment Process for Accreditation Preparedness
- 14. Public Health Delivery Systems
- 15. Regionalization in Local Public Health Systems
- 16. Public Health Services and Systems Research
- 17. A Shot in the Rear, Not a Shot in the Dark
- 18. What Predicts Local Public Health Agency Performance Improvement?
- 19. Growth of a Scientific Community of Practice
- 20. Evolution of Coauthorship in Public Health Services and Systems Research
- 21. Resources that May Matter
- 22. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
- 23. Public Health Financial Management Competencies
- 24. Decision Science
- 25. Public Health Financial Management Needs
- 26. Data-Driven Management Strategies in Public Health Collaboratives
- 27. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
- 28. Public Health Systems and Services Research
- 29. Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
- 30. A Needs Assessment for Data and Methods in Public Health Systems Research
- 31. Mapping the Multidisciplinary Field of Public Health Services and Systems Research
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