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Estimating the Cost of Providing Foundational Public Health Services.
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- Author(s): Mamaril, Cezar Brian C.; Mays, Glen P.; Branham, Douglas Keith; Bekemeier, Betty; Marlowe, Justin; Timsina, Lava
- Source:
Health Services Research; Aug2018 Supplement 1, Vol. 53, p2803-2820, 18p, 1 Diagram, 1 Chart, 2 Graphs- Subject Terms:
PUBLIC health; COST estimates; HEALTH promotion; SIMULATION methods & models; MEDICAL care; PUBLIC health & economics; PREVENTIVE health services; PREVENTION of communicable diseases; COMPARATIVE studies; FAMILY health; RESEARCH methodology; MEDICAL cooperation; HEALTH policy; RESEARCH; STATISTICS; RESIDENTIAL patterns; EVALUATION research; STATISTICAL models; ECONOMICS - Source:
- Additional Information
- Subject Terms:
- Abstract:
Objective: To estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine.Study Design: A stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS.Data Collection/extraction Methods: We use data collected from a diverse cohort of 19 public health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015.Principal Findings: The average agency incurred costs of $48 per capita implementing FPHS at their current attainment levels with a coefficient of variation (CV) of 16 percent. Achieving full FPHS implementation would require $82 per capita (CV=19 percent), indicating an estimated resource gap of $34 per capita.Conclusions: Substantial variation in costs exists across communities in resources currently devoted to implementing FPHS, with even larger variation in resources needed for full attainment. Reducing geographic inequities in FPHS may require novel financing mechanisms and delivery models that allow health agencies to have robust roles within the health system and realize a minimum package of public health services for the nation. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Health Services Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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