Browsing by Subject "Local government"

Now showing 1 - 4 of 4
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    Application for Public Health Accreditation Among US Local Health Departments in 2013 to 2019: Impact of Service and Activity Mix
    (American Public Health Association, 2021) Leider, Jonathon P.; Kronstadt, Jessica; Yeager, Valerie A.; Hall, Kellie; Saari, Chelsey K.; Alford, Aaron; Tremmel Freeman, Lori; Kuehnert, Paul; Health Policy and Management, School of Public Health
    Objectives: To examine correlates of applying for accreditation among small local health departments (LHDs) in the United States through 2019. Methods: We used administrative data from the Public Health Accreditation Board (PHAB) and 2013, 2016, and 2019 Profile data from the National Association of County and City Health Officials to examine correlates of applying for PHAB accreditation. We fit a latent class analysis (LCA) to characterize LHDs by service mix and size. We made bivariate comparisons using the t test and Pearson χ2. Results: By the end of 2019, 126 small LHDs had applied for accreditation (8%). When we compared reasons for not pursuing accreditation, we observed a difference by size for perceptions that standards exceeded LHD capacity (47% for small vs 22% for midsized [P < .001] and 0% for large [P < .001]). Conclusions: Greater funding support, considering differing standards by LHD size, and recognition that service mix might affect practicality of accreditation are all relevant considerations in attempting to increase uptake of accreditation for small LHDs. Public Health Implications: Overall, small LHDs represented about 60% of all LHDs that had not yet applied to PHAB.
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    Dance of Dollars: State Funding Effects on Local Health Department Expenditures
    (Wolters Kluwer, 2022) Viall, Abigail H.; Bekemeier, Betty; Yeager, Valerie; Carton, Thomas; Health Policy and Management, Richard M. Fairbanks School of Public Health
    Objective: We examined changes in total local health department (LHD) expenditures in the state of Washington following introduction of a new state funding program to support core public health services and infrastructure. Methods: We used a pre/posttest design regression model to evaluate changes in LHD expenditures 1, 2, and 6 years into the new state program. To address potential endogeneity in the model, we repeated all 3 analyses using 2-stage least squares regression. Results: In the base case, overall spending among LHDs significantly increased with receipt of the new state funds in the first years of the program (2008 and 2009). However, those increases were not sustained over the longer term (2013). In subpopulation analyses, total LHD spending increased more among larger LHDs. Conclusions: Between 2006 and 2013, new state investments in core public health functions increased Washington State LHD expenditures in the short term, but those increases did not persist over time. For public health financial modernization efforts to translate into public health infrastructure modernization successes, the way new investments are structured may be as important as the amount of funding added.
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    FEMA versus local governments: Influence and reliance in disaster preparedness
    (Springer, 2016) Sadiq, Abdul-Akeem; Tharp, Kevin; Graham, John D.; School of Public and Environmental Affairs, IUPUI
    This study uses an experimental approach to examine whether disaster information sourced to the Federal Emergency Management Agency (FEMA) influences intentions to adopt hazard adjustments. Survey questions are also used to determine whether individuals rely more on FEMA or local governments when preparing for disasters. Using an online sample of 2008 US employees, the results indicate that information sourced to FEMA is no more influential than information sourced to local governments and that individuals rely less on FEMA than on local agencies during disaster preparedness. These results have significant implications for practice and future research on natural hazard preparedness.
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    When Push Comes to Shove: The Effect of Economic Crisis on the Spending of Government Savings
    (Taylor & Francis, 2022) Kim, Cheong; Park, Sanghee
    This study explores whether and how an economic crisis affects the spending of government savings by focusing on its political-economic benefit. Despite a great deal of discussion about the government’s tendency toward more spending, relatively few studies have attempted to identify the conditions that can reverse the tendency. Using data from 254 California cities during 1996–2009, this study finds a regular U-shape relationship between unemployment rates and government savings. Savings decrease until the unemployment rate reaches almost double digits (9.9%) and begin to recover after this point. The results suggest that an economic crisis curbs the spending tendency by modifying the incentives of legislators. This study contributes to public administration research by explaining local government savings and its delayed responses to a crisis from a political-economic perspective.