Articles Regarding Local Health Districts and
Integration of Local Health Departments (LHDs)
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LHDs servicing larger jurisdictions (e.g., greater than 200,000 population) may be eligible for more federal funds, including grants (Blumerman & Vidal, Governments Division Report Series, 2009). https://www.census.gov/prod/2009pubs/govsrr2009-1.pdf
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LHDs servicing at least 100,000 people demonstrate greater cost efficiency (i.e., lower per capita expenditures) than LHDs servicing fewer people (Santerre, Health Services Research, 2009). http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2009.01006.x/full
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After the consolidation of LHDs in Ohio, the total per capita expenditures decreased by more than 16 percent, while county health officials found that local public health services improved during the same time (Hoornbeek, et al., American Journal of Public Health, 2014). http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2014.302450
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For every 10 percent increase in LHD funding, there is nearly a 7 percent decrease in preventable infant deaths as well as other improvements (e.g., reduced deaths from heart disease, diabetes, and cancer) (Mays & Smith, Health Affairs, 2011). http://content.healthaffairs.org/content/30/8/1585.full.pdf+html
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LHDs of larger jurisdictions (i.e., greater than 100,000 population) are more likely to engage in activities aimed at reducing health disparities such as providing local data, supporting community efforts, training staff, educating officials, and prioritizing resources/programs (Shah & Sheahan, International Journal of Environmental Research and Public Health, 2016). http://www.mdpi.com/1660-4601/13/1/44
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LHDs covering a wider jurisdiction with larger population sizes (i.e., greater than 500,000 population) are more likely to ensure access to care, including medical and behavioral services (Luo, et al., American Journal of Preventive Medicine, 2013). http://www.ajpmonline.org/article/S0749-3797(13)00487-X/pdf
- Various resources are available to assist with Cross-jurisdictional Sharing (Center for Sharing Public Health Services, 2018). https://phsharing.org/wp-content/uploads/2018/11/6-DocumentAboutCenterDocuments.pdf