IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2015.302769_1.html
   My bibliography  Save this article

Impact of economic constraints on public health delivery systems structures

Author

Listed:
  • Smith, S.A.
  • Mays, G.P.
  • Felix, H.C.
  • Tilford, J.M.
  • Curran, G.M.
  • Preston, M.A.

Abstract

Objectives. We estimated the effect of economic constraints on public health delivery systems (PHDS) density and centrality during 3 time periods, 1998, 2006, and 2012. Methods. We obtained data from the 1998, 2006, and 2012 National Longitudinal Study of Public Health Agencies; the 1993, 1997, 2005, and 2010 National Association for County and City Health Officials Profile Study; and the 1997, 2008, and 2011 Area Resource Files. We used multivariate regression models for panel data to estimate the impact of economic constraints on PHDS density and centrality. Results. Findings indicate that economic constraints did not have a significant impact on PHDS density and centrality over time but population is a significant predictor of PHDS density, and the presence of a board of health (BOH) is a significant predictor of PHDS density and centrality. Specifically, a 1% increase in population results in a significant 1.71% increase in PHDS density. The presence of a BOH is associated with a 10.2% increase in PHDS centrality, after controlling for other factors. Conclusions. These findings suggest that other noneconomic factors influence PHDS density centrality.

Suggested Citation

  • Smith, S.A. & Mays, G.P. & Felix, H.C. & Tilford, J.M. & Curran, G.M. & Preston, M.A., 2015. "Impact of economic constraints on public health delivery systems structures," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 48-53.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302769_1
    DOI: 10.2105/AJPH.2015.302769
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2015.302769
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2015.302769?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Inrig, Stephen J. & Higashi, Robin T. & Tiro, Jasmin A. & Argenbright, Keith E. & Lee, Simon J. Craddock, 2017. "Assessing local capacity to expand rural breast cancer screening and patient navigation: An iterative mixed-method tool," Evaluation and Program Planning, Elsevier, vol. 61(C), pages 113-124.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302769_1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.