ArticleAJPM focus2026
Aggregated 50-State, Regional, and State-Level Trends in State and Local Government Health Employees in the U.S. From 2000 Through 2023.
Article in AJPM focus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The authors investigated trends in U.S. state and local government health employees per million persons at the aggregated 50-state, regional, and state levels. Methods: The authors used repeated cross-sectional data from the Annual Survey of Public Employment & Payroll. Joinpoint regression was used to estimate average annual percentage changes and annual percentage changes from 2000 through 2023. State and local full-time and part-time government health employees included public health and several other categories of health workers. Results: State and local government health employees per million persons remained stable in the U.S. from 2000 through 2023. Heterogeneous trends in state and local government health employees were observed by region: Northeast (average annual percentage change=0.5% increase, 95% CI=0.3%, 0.7%), Midwest (average annual percentage change=0.9% increase, 95% CI=0.6%, 1.1%), South (average annual percentage change= -0.7% decrease, 95% CI= -0.9%, -0.5%), and West (average annual percentage change=0.1% increase, 95% CI= -0.1%, 0.2%). The authors observed further variation in state-stratified analyses. Conclusions: Most U.S. states experienced decreasing trends during the Great Recession (2007-2009) and increasing trends during the COVID-19 pandemic (2020-2023). Stable and long-term funding streams are essential to support consistent recruitment, training, and retention of state and local government health employees. Health policies should account for regional variations in health needs and employment trends when planning the state and local government health hiring.
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