TY - JOUR
T1 - How Much Do We Spend? Creating Historical Estimates of Public Health Expenditures in the United States at the Federal, State, and Local Levels
AU - Leider, Jonathon P.
AU - Resnick, Beth
AU - Bishai, David
AU - Scutchfield, F. Douglas
N1 - Publisher Copyright:
© 2018 Annual Reviews Inc. All rights reserved.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - The United States has a complex governmental public health system. Agencies at the federal, state, and local levels all contribute to the protection and promotion of the population's health. Whether the modern public health system is well situated to deliver essential public health services, however, is an open question. In some part, its readiness relates to how agencies are funded and to what ends. A mix of Federalism, home rule, and happenstance has contributed to a siloed funding system in the United States, whereby health agencies are given particular dollars for particular tasks. Little discretionary funding remains. Furthermore, tracking how much is spent, by whom, and on what is notoriously challenging. This review both outlines the challenges associated with estimating public health spending and explains the known sources of funding that are used to estimate and demonstrate the value of public health spending.
AB - The United States has a complex governmental public health system. Agencies at the federal, state, and local levels all contribute to the protection and promotion of the population's health. Whether the modern public health system is well situated to deliver essential public health services, however, is an open question. In some part, its readiness relates to how agencies are funded and to what ends. A mix of Federalism, home rule, and happenstance has contributed to a siloed funding system in the United States, whereby health agencies are given particular dollars for particular tasks. Little discretionary funding remains. Furthermore, tracking how much is spent, by whom, and on what is notoriously challenging. This review both outlines the challenges associated with estimating public health spending and explains the known sources of funding that are used to estimate and demonstrate the value of public health spending.
KW - public health finance
KW - public health spending
KW - public health systems
KW - public health systems research
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U2 - 10.1146/annurev-publhealth-040617-013455
DO - 10.1146/annurev-publhealth-040617-013455
M3 - Review article
C2 - 29346058
AN - SCOPUS:85044856443
SN - 0163-7525
VL - 39
SP - 471
EP - 487
JO - Annual Review of Public Health
JF - Annual Review of Public Health
ER -