2018
Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost
Humphries DL, Hyde J, Hahn E, Atherly A, O’Keefe E, Wilkinson G, Eckhouse S, Huleatt S, Wong S, Kertanis J. Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost. Frontiers In Public Health 2018, 6: 115. PMID: 29755964, PMCID: PMC5932147, DOI: 10.3389/fpubh.2018.00115.Peer-Reviewed Original ResearchSemi-structured interviewsCross-jurisdictional sharingPublic health service deliveryBreadth of servicesAmerican Community SurveyIndependent jurisdictionsSmall jurisdictionsService delivery modelsLocal knowledgeHealth service deliveryLocal cultureLocal health departmentsSmall municipalitiesService deliveryLocal public healthQualitative dataJurisdictionsHealth departmentsCommunity health programsInterviewsPublic health systemCommunity surveyFood safety inspectionMunicipalitiesEconomies of scale
2015
Effects of Economic Conditions and Organizational Structure on Local Health Jurisdiction Revenue Streams and Personnel Levels in Connecticut, 2005–2012
Pallas SW, Kertanis J, O'Keefe E, Humphries DL. Effects of Economic Conditions and Organizational Structure on Local Health Jurisdiction Revenue Streams and Personnel Levels in Connecticut, 2005–2012. Public Health Reports 2015, 130: 704-721. PMID: 26556942, PMCID: PMC4612179, DOI: 10.1177/003335491513000620.Peer-Reviewed Original ResearchConceptsEconomic conditionsHousing permitsUnemployment rateAnnual report dataFull-time equivalent personnelU.S. recessionsEconomic downturnRandom effects regression modelsRevenue levelsRevenue reductionsTotal revenueRevenueOrganizational structureRevenue streamsCapitaPersonnel levelsLHJEfficiency of servicesReport dataPermitsDownturnRegression modelsRecessionTime periodLocal public health