Does Institutional Structure Effect Public Health Expenditures?

This paper explores supply‐side costs and institutional structure in a shared authority state public health system. It is found that in a shared governance public health system, intermediary district structure influences the movement of limited resources to serve populations and persons most in need...

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Bibliographic Details
Published in:Public budgeting & finance 2011-12, Vol.31 (4), p.136-147
Main Authors: EGER III, ROBERT J., FORTNER, CHARLES KEVIN, HEPBURN, VALERIE A., SLADE, CATHERINE P.
Format: Article
Language:English
Subjects:
Appropriations and expenditures
Authority
Cost
Demographics
Districts
Expenditures
Governance
Government and politics
Health Care Costs
Health policy
Management
Policy Making
Population
Public Administration
Public Health
Studies
Citations: Items that cite this one
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Summary:This paper explores supply‐side costs and institutional structure in a shared authority state public health system. It is found that in a shared governance public health system, intermediary district structure influences the movement of limited resources to serve populations and persons most in need. This early empirical test suggests that policy making and public administration concerning public health expenditures in a shared governance system are in a practical sense local, but decisions made at the intermediary level by regional district administration are an important influence on local public health expenditures.
ISSN:0275-1100
1540-5850
DOI:10.1111/j.1540-5850.2011.00996.x