Evidence map›Paper›PMID 25689213›Full record

ArticleAmerican journal of public health2015

State barriers to appropriating public health emergency response funds during the 2009 H1N1 response.

Valerie A Yeager, David Hurst, Nir Menachemi

Abstract read
In one paragraph

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. A Scan of CDC-Authored Articles on Legal Epidemiology, 2011-2015.Public health reports (Washington, D.C. : 1974) · 2016
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Valerie A YeagerValerie A. Yeager is with the Department of Global Health Systems and Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. David Hurst is with the Applied Science and Evaluation Branch, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA. Nir Menachemi is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
David Hurst
Nir Menachemi

Funding

PHS HHS 200-2011-39419
6 · The paper itself

Abstract

objectivesWe examined state-specific administrative barriers to allocating 2009 H1N1 influenza public health emergency response (PHER) funds.

methodsWe conducted a qualitative review of PHER grants management reports to identify and code barriers reported by states in allocating funds. Using linear regression, we examined the relationship between the percentage of funds allocated and each individual barrier and, separately, the cumulative effect of multiple barriers.

resultsStates reported 6 barrier types, including regulatory issues (n = 14, or 28%), contracting issues (n = 14, or 28%), purchasing issues (n = 6, or 12%), legislative issues (n = 5, or 10%), staffing issues (n = 5, or 10%), and issues transferring funds between state and local health departments (n = 4, or 8%). In multivariate models, having experienced a purchasing barrier was associated with a significant decrease in PHER allocation (B = -26.4; P = .018). Separately, the cumulative effect of having 3 barriers was associated with a decrease in PHER allocation (B = -16.0; P = .079).

conclusionsPurchasing barriers were associated with delayed use of PHER funds. Moreover, the cumulative effect of any 3 barriers hampered the allocation of funds. Understanding barriers to using funds can inform future funding guidance for improved efficiency of response efforts.

Indexed as

Influenza A Virus, H1N1 SubtypeDisease OutbreaksFinancial ManagementFinancing, GovernmentHumansInfluenza, HumanPersonnel Staffing and SchedulingPublic Health AdministrationResidence Characteristics

Identifiers

PMID25689213
PMCPMC4355722

What OpenQuestion holds

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Registered trials

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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.