March/April 2007, Volume 13, Issue 2 - Free online

Public Health Finance: Fundamental Theories, Concepts, and Definitions.
Peggy A. Honoré, DHA; Brian W. Amy, MD, MHA, MPH
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Public Health: An Essential Commitment to the Nation.
Edward M. Kennedy
This commentary calls for a strong public health infrastructure to monitor disease burden, reduce and contain health threads of high risk, and promote healthy lifestyles in all parts of the population.
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Improving the System: The Role of Public Health Systems Research in Improving the Health of All Americans.
Garth Graham, MD, MPH
This commentary describes the potential role of public health systems research in providing a unique and comprehensive strategy to reduce health disparities and improve the health of all Americans.
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Financing Public Health: Diminished Funding for Core Needs and State-by-State? Variation in Support.
Jeffrey Levi, PhD; Chrissie Juliano, MPH; Maxwell Richardson
Trust for America's Health has compiled information about state-generated revenue commitments to public health activities nationwide. The analysis shows that funding has been marked by diminished support for core public health functions.
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Refining Estimates of Public Health Spending as Measured in National Health Expenditures Accounts: The United States Experience.
Arthur L. Sensenig, MA
This article provides information on how the estimates of expenditures for government public health activity are prepared; describes the challenges associated with preparing these estimates, and makes some suggestions on future data development activity that could lead to improved estimates of expenditures for government public health activity.
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Refining Estimates of Public Health Spending as Measured in National Health Expenditure Accounts: The Canadian Experience.
Geoff Ballinger, MBA
This article presents the Canadian experience in attempting to address the challenges associated with developing the needed taxonomies for systematically capturing, measuring, and analyzing the national investment in the Canadian public health system.
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Creating Financial Transparency in Public Health: Examining Best Practices of System Partners.
Peggy A. Honoré, DHA; Richard L. Clarke, DHA, FHFMA; Dean Michael Mead, PhD; Susan M. Menditto, CPA
The study examines best practices for financial management and analysis in hospitals, schools and school systems, and colleges and universities (higher education).
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Developing a Chart of Accounts: Historical Perspective of the Medical Group Management Association.
David N. Gans, MSHA, FACMPE; Neill F. Piland, DrPh?; Peggy A. Honoré, DHA
This study stresses the need to carefully analyze and demonstrate the cost-effectiveness of services provided by public health organizations.
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Health Center Financial Performance: National Trends and State Variation, 1998-2004.
Leiyu Shi, DrPH, MPA, MBA; Patricia B. Collins, MPH; Kaytura Felix Aaron, MD; Vanessa Watters, MHA; Leslie Greenblat Shah, MHS
Health centers rely on federal and nonfederal grant support in concert with the Medicaid program as major funding sources and their continued financial stability will be contingent upon their ability to balance revenues with the cost of managing the vulnerable populations that they serve.
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Who Gets How Much: Funding Formulas in Federal Public Health Programs.
James W. Buehler, MD; David R. Holtgrave, PhD
This article illustrates the ways by which the Centers for Disease Control and Prevention and the Health Resources Services Administration use formula-based methods in public health to allocate funds among states and other jurisdictions. A public health finance research agenda should address ways to improve the fit between funding allocation formulas and program objectives.
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State Public Health Agency Expenditures: Categorizing and Comparing to Performance Levels.
Peggy A. Honoré, DHA; Tricia Schlechte, MPH, BSN
This pilot study was conducted to test a methodology in a state health department for comparing financial resources consumed to performance scores in each of the 10 Essential Public Health Services categories.
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State Funding for Local Public Health: Observations From Six Case Studies.
Margaret A. Potter, MS, JD; Tiffany Fitzpatrick, MSW
This study describes state funding of local public health within the context of state public health types based on administrative relationships, legal structures, and relative proportion of state funding in local public health budgets.
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From Theory to Practice: What Drives the Core Business of Public Health?.
Tina Anderson Smith, MPH; Karen J. Minyard, PhD; Christopher A. Parker, MBBS, MPH; Rachel Ferencik Van Valkenburg, MPA; John A. Shoemaker, MPH
This case study describes the core business of public health in Georgia relative to the theoretical ideal and elucidates the primary drivers of the core business, thus providing data to inform future efforts to strengthen practice in the state.
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Structuring a Framework for Public Health Performance-based Budgeting: A Georgia Case Study.
Valerie A. Hepburn, PhD; Robert Eger III, PhD; Jungbu Kim, MPA; Catherine Slade, MBA
This Georgia-based case study explores one approach for program budgeting in state and regional public health systems and describes a structure that clearly distinguishes between personal health services and population health and allows for the future establishment of measurable program targets, an essential feature of a performance-centered budgeting system.
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A Legislative Perspective on Program Budgeting for Public Health in Georgia.
Carolyn Bourdeaux, PhD; Jason Fernandes, BS
This article describes some of the criteria used by legislators to develop public health services programs.
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Local Public Health Agency Funding: Money Begets Money.
Patrick Michael Bernet, PhD
The study measures the appropriateness of funding levels, including measures of program need, effectiveness, or even ability to provide services through alternative sources using data from Missouri local public health agencies (LPHAs). The findings indicate that Missouri LPHAs receiving higher federal and state funds generate higher levels of local revenues. These findings that nonlocal revenues are amplified at the local level, help make the case for higher public health funding from federal and state levels.
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Direct Cost Associated With the Development and Implementation of a Local Syndromic Surveillance System.
Amy Kirkwood, MS; Eric Guenther, MPH; Aaron T. Fleischauer, PhD, MPH; Julia Gunn, MPH, RN; Lori Hutwagner, MS; M. Anita Barry, MD, MPH
The study deals with the calculation of direct costs associated with developing and implementing a syndromic surveillance system in Boston, Massachusetts, from the perspective of local, state, and federal governments. In addition, public health policy and regulations relevant to such systems are discussed, as are costs associated with technical and scientific upgrades required to improve system efficiency.
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Building Preparedness by Improving Fiscal Accountability.
Kathy Hebert, MD, MMM, MPH; Nicholas Henderson; Elin A. Gursky, ScD
This commentary calls for developing a financial taxonomy to properly assess the impact of spending on public health and bioterrorism preparedness.
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Impact of Increasing Medicaid Dental Reimbursement and Implementing School Sealant Programs on Sealant Prevalence.
Susan O. Griffin, PhD; Kari A. Jones, PhD; Stuart Lockwood, DMD, MPH; Nicholas G. Mosca, DDS; Peggy A. Honoré, DHA
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Financing Newborn Screening: Sources, Issues, and Future Considerations.
Bradford L. Therrell, PhD; Donna Williams, BS; Kay Johnson, MPH; Michele A. Lloyd-Puryear?, MD, PhD; Marie Y. Mann, MD, MPH; Lauren Raskin Ramos, MPH
This article provides a survey of financing newborn screening (NBS) programs. A previous survey of 37 of the 51 dried blood spot screening programs throughout the United States confirmed an increasing dependence on NBS fees. This survey provides responses from all 51 programs (100%), including updated responses from the original 37, and updated fee listings.
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Evaluating the Ecological Association of Casino Industry Economic Development on Community Health Status: A Natural Experiment in the Mississippi Delta Region.
Peggy A. Honoré, DHA; Eduardo J. Simoes, MD, MSc, MPH; Ramal Moonesinghe, PhD; Xueyuan Wang, MPH; Lovetta Brown, MD, MPH
This study examines associations of casino industry economic development on improving community health status and funding for public health services in two counties in the Mississippi Delta Region.
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Staying Financially Afloat in the Wake of a Public Health Crisis.
Kevin U. Stephens Sr, MD, JD
This commentary describes the healthcare challenges the New Orleans Health Department is facing post-Katrina.
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Advancing Public Health Finance.
Thomas E. Getzen, PhD
This commentary emphasises the need of public health to reestablish a generative research foundation to bring back the excitement and creativity to the profession.
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Public Goods and Externalities: A Research Agenda for Public Health Economics.
Vilma G. Carande-Kulis?, PhD, MS; Thomas E. Getzen, PhD; Stephen B. Thacker, MD, MSc
This study proposes an expansion of the scope of existing health economics research in an area characterized as public health economics-the study of the economic role of government in public health, particularly, but not exclusively, in supplying public goods and addressing externalities.

Fonte: Journal of Public Health Management & Practice