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The impacts of local health department consolidation on public health expenditures: Evidence from Ohio

Author

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  • Hoornbeek, J.
  • Morris, M.E.
  • Stefanak, M.
  • Filla, J.
  • Prodhan, R.
  • Smith, S.A.

Abstract

We examined the effects of local health department (LHD) consolidations on the total and administrative expenditures of LHDs in Ohio from 2001 to 2011. We obtained data from annual records maintained by the state of Ohio and through interviews conducted with senior local health officials and identified 20 consolidations of LHDs occurring in Ohio in this time period. We found that consolidating LHDs experienced a reduction in total expenditures of approximately 16%(P=.017), although we found no statistically ignificant change in administrative expenses. County health officials who were interviewed concurred that their consolidations yielded financial benefits, and they also asserted that their consolidations yielded public health service improvements.

Suggested Citation

  • Hoornbeek, J. & Morris, M.E. & Stefanak, M. & Filla, J. & Prodhan, R. & Smith, S.A., 2015. "The impacts of local health department consolidation on public health expenditures: Evidence from Ohio," American Journal of Public Health, American Public Health Association, vol. 105, pages 174-180.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302450_8
    DOI: 10.2105/AJPH.2014.302450
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    Cited by:

    1. Cinzia Di Novi & Dino Rizzi & Michele Zanette, 2016. "Larger is Better: the Scale Effects of the Italian Local Healthcare Authorities Amalgamation Program," Working Papers 2016:04, Department of Economics, University of Venice "Ca' Foscari".
    2. Cinzia Di Novi & Dino Rizzi & Michele Zanette, 2018. "Scale Effects and Expected Savings from Consolidation Policies of Italian Local Healthcare Authorities," Applied Health Economics and Health Policy, Springer, vol. 16(1), pages 107-122, February.

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