Evidence map›Paper›PMID 29282722›Full record

ArticleHealth services research2018

Estimating the Cost of Providing Foundational Public Health Services.

Cezar Brian C Mamaril, Glen P Mays, Douglas Keith Branham, Betty Bekemeier, Justin Marlowe, Lava Timsina

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Cezar Brian C MamarilDepartment of Health Management and Policy, University of Kentucky College of Public Health, Lexington, KY.ORCID 0000-0002-3744-9069
Glen P MaysDepartment of Health Management and Policy, University of Kentucky College of Public Health, Lexington, KY.ORCID 0000-0002-7837-6812
Douglas Keith BranhamDepartment of Health Management and Policy, University of Kentucky College of Public Health, Lexington, KY.
Betty BekemeierSchool of Nursing, University of Washington, Seattle, WA.
Justin MarloweDaniel J. Evans School of Public Policy and Governance, University of Washington, Seattle, WA.
Lava TimsinaCenter for Outcomes Research in Surgery, Indiana University School of Medicine, Indianapolis, IN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine. STUDY

designA stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS. DATA COLLECTION/EXTRACTION

methodsWe use data collected from a diverse cohort of 19 public health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015. PRINCIPAL

findingsThe average agency incurred costs of $48 per capita implementing FPHS at their current attainment levels with a coefficient of variation (CV) of 16 percent. Achieving full FPHS implementation would require $82 per capita (CV=19 percent), indicating an estimated resource gap of $34 per capita.

conclusionsSubstantial variation in costs exists across communities in resources currently devoted to implementing FPHS, with even larger variation in resources needed for full attainment. Reducing geographic inequities in FPHS may require novel financing mechanisms and delivery models that allow health agencies to have robust roles within the health system and realize a minimum package of public health services for the nation.

Indexed as

Communicable Disease ControlFamily HealthHealth PromotionHumansModels, StatisticalPolicyPrimary PreventionPublic Health PracticeResidence CharacteristicsStochastic ProcessesUnited Statesgeographic/spatial factors/small area variationsHealth care financing/insurance/premiumshealth promotion/prevention/screening

Identifiers

PMID29282722
PMCPMC6056592

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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.