ArticleAmerican journal of public health2015
Economies of scale in the production of public health services: an analysis of local health districts in Florida.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
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- Using mHealth Technologies for Case Finding in Tuberculosis and Other Infectious Diseases in Africa: Systematic Review.JMIR mHealth and uHealth · 2024Pooled it
- Cost-Effectiveness Analysis of Artificial Intelligence-Driven Risk Stratification in Patients With Diabetic Kidney Disease in the US Veterans Population.Kidney medicine · 2026Article
- Assessing the cost implications of integrating and scaling up HIV services for key populations in Kenya and Malawi.Health policy and planning · 2026Article
- Financial Management Innovation in Hospital Groups: An Empirical Study of Ophthalmology Specialty Care Under Consolidation.Risk management and healthcare policy · 2026Article
- Developing and evaluating a community-driven intervention to promote uptake of HIV and contraception services among students enrolled in colleges and universities in Zimbabwe.Journal of the International AIDS Society · 2025Article
- Hospitalizations for congenital syphilis in children under one year old in the state of Pará, Brazilian Amazon: ecological study.BMC pediatrics · 2023Article
- Orthopaedic Group Practice Size Is Increasing.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost.Frontiers in public health · 2018Article
- Exploring Costing Methods for Environmental Health Services in North Carolina.Public health reports (Washington, D.C. : 1974)Article
- Consolidating Local Health Departments in the United States: Challenges, Evidence, and Thoughts for the Future.Public health reports (Washington, D.C. : 1974)Article
- Cost Analysis of Prevention Research Centers: Instrument Development.Journal of public health management and practice : JPHMPArticle
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe examined the existence and the extent of scale and scope economies in the delivery of public health services. We also tested the strength of agency, population, and community characteristics that moderate scale and scope economies.
methodsWe collected service count and cost data for all Florida local health districts for 2008 and 2010, complemented with data on agency, population, and community characteristics. Using translog cost functions, we built models of operating efficiencies for 5 core public health activities: communicable disease surveillance, chronic disease prevention, food hygiene, on-site sewage treatment, and vital records.
resultsEconomies of scale were found in most activities, with cost per unit decreasing as volume increased. The models did not, however, identify meaningful economies of scope.
conclusionsConsolidation or regionalization might lower cost per unit for select public health activities. This could free up resources for use in other areas, further improving the public's health.
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