Assessment of Staffing, Services, and Partnerships of Local Health Departments — United States, 2015

Beginning in 2008, the National Association of County and City Health Officials (NACCHO) periodically surveyed local health departments (LHDs) to assess the impact of the economic recession on jobs and budgets (1). In 2014, the survey was expanded to assess a wider range of factors affecting program...

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Bibliographic Details
Published in:MMWR. Morbidity and mortality weekly report 2016-07, Vol.65 (25), p.646-649
Main Authors: Newman, Sarah J., Ye, Jiali, Leep, Carolyn J., Hasbrouck, LaMar, Zometa, Carlos
Format: Article
Language:English
Subjects:
Analysis
Associations, institutions, etc
Budgets
Cooperative Behavior
Economic Recession
Humans
Local Government
Partnership
Personnel Downsizing
Public Health Administration - economics
Public Health Practice
Societies
Surveys
Surveys and Questionnaires
United States
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Summary:Beginning in 2008, the National Association of County and City Health Officials (NACCHO) periodically surveyed local health departments (LHDs) to assess the impact of the economic recession on jobs and budgets (1). In 2014, the survey was expanded to assess a wider range of factors affecting programs, services, and infrastructure in LHDs and renamed the Forces of Change survey (2). The survey was administered in to January-February 2015 to 948 LHDs across the United States to assess budget changes, job losses, changes in services, and collaboration with health care partners; 690 (73%) LHDs responded. Findings indicated a change in LHD infrastructure: compared with the previous fiscal year.* Overall, LHDs reported 3,400 jobs lost; 25% of LHDs reported budget decreases; 36% reported a reduction in at least one service area; and 35% reported serving fewer patients in clinics. In addition, up to 24% of LHDs reported expanding population-based prevention services, and LHDs reported exploring new collaborations with nonprofit hospitals and primary care providers (PCPs).
ISSN:0149-2195
1545-861X
DOI:10.15585/mmwr.mm6525a2