ArticleHealth services research2009
Geographic variation in public health spending: correlates and consequences.
Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 123 citations in OpenAlex.
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- Being Accountable for Capability-Getting Public Health Reform Right This Time.American journal of public health · 2022Article
- Health Equity and the Dynamism of Structural Racism and Public Policy.The Milbank quarterly · 2022Article
- Identifying Value-Added Population Health Capabilities to Strengthen Public Health Infrastructure.The Milbank quarterly · 2022Article
- US local public health department spending between 2008 and 2016 did not increase for communities in need.BMC health services research · 2022Article
- Social Determinants of Health and Geographic Variation in Medicare per Beneficiary Spending.JAMA network open · 2021Article
- Geographic Variation in Trends and Disparities in Heart Failure Mortality in the United States, 1999 to 2017.Journal of the American Heart Association · 2021Article
- COVID-19 and Underinvestment in the Public Health Infrastructure of the United States.The Milbank quarterly · 2020Article
- Maternal Mortality and Public Health Programs: Evidence from Florida.The Milbank quarterly · 2020Article
- Regional variation in Black infant mortality: The contribution of contextual factors.PloS one · 2020Article
- Estimating the Cost of Providing Foundational Public Health Services.Health services research · 2018Article
- Joint Community Health Needs Assessments as a Path for Coordinating Community-Wide Health Improvement Efforts Between Hospitals and Local Health Departments.American journal of public health · 2018Article
- Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost.Frontiers in public health · 2018Article
- The differential effects of rural health care access on race-specific mortality.SSM - population health · 2017Article
- Public Health Spending and Medicare Resource Use: A Longitudinal Analysis of U.S. Communities.Health services research · 2017Article
- Geographic Region Matters in the Relation Between Perceived Racial Discrimination and Psychiatric Disorders Among Black Older Adults.The Gerontologist · 2017Article
- Creating a Taxonomy of Local Boards of Health Based on Local Health Departments' Perspectives.American journal of public health · 2017Article
- Political fragmentation and widening disparities in African-American and white mortality, 1972-1988.SSM - population health · 2016Article
- Using a positive deviance framework to identify Local Health Departments in Communities with exceptional maternal and child health outcomes: a cross sectional study.BMC public health · 2016Article
- Community Health Assessment and Improved Public Health Decision-Making: A Propensity Score Matching Approach.American journal of public health · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo examine the extent of variation in public health agency spending levels across communities and over time, and to identify institutional and community correlates of this variation. DATA SOURCES AND
settingThree cross-sectional surveys of the nation's 2,900 local public health agencies conducted by the National Association of County and City Health Officials in 1993, 1997, and 2005, linked with contemporaneous information on population demographics, socioeconomic characteristics, and health resources. STUDY
designA longitudinal cohort design was used to analyze community-level variation and change in per-capita public health agency spending between 1993 and 2005. Multivariate regression models for panel data were used to estimate associations between spending, institutional characteristics, health resources, and population characteristics. PRINCIPAL
findingsThe top 20 percent of communities had public health agency spending levels >13 times higher than communities in the lowest quintile, and most of this variation persisted after adjusting for differences in demographics and service mix. Local boards of health and decentralized state-local administrative structures were associated with higher spending levels and lower risks of spending reductions. Local public health agency spending was inversely associated with local-area medical spending.
conclusionsThe mechanisms that determine funding flows to local agencies may place some communities at a disadvantage in securing resources for public health activities.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.