Alternative Models for the Delivery of Local Public Health Services: Effect on Costs, Administration, and Public Health Outcomes

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Overview

This study compares North Carolina’s four different types of local public health delivery systems: single county, multi-county, authority, and consolidated human services. The team will analyze the laws that govern the four models as well as qualitative data related to the development and perceptions of the models and quantitative data tied to selected health status and service delivery outcomes. The project will inform state and local policymakers as they consider significant changes to the state’s public health delivery system.

Findings

• Final Report. Comparing North Carolina’s Local Public Health Agencies: The Legal Landscape, the Perspectives, and the Numbers.
• Preliminary Report. Comparing North Carolina’s Local Public Health Agencies: The Legal Landscape, the Perspectives, and the Numbers. 

Publications

• Comparing Types of Local Public Health Agencies in North Carolina.

Tools and Other Resources

• Issue Brief. Comparing North Carolina’s Local Public Health Agencies: The Legal Landscape, the Perspectives, and the Numbers.
• NC Public Health Systems Research (90-minute webinar).
• NC Human Services: What Might New Legislation Mean for Your County? (90-minute webinar).

Website

• http://www.sog.unc.edu/node/2115

Contacts

Maureen Berner & Jill Moore
University of North Carolina at Chapel Hill

Research Areas

• System Structure and Performance
• Public Health Agency Organization and Governance