Financial Constraints, Regionalization Incentives, and Public Health Responses

Year: 2010
Funding: Quick Strike Research Award
Status: Completed

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The State of Connecticut has subsidized local public health services for many years using an annual per-capita grant mechanism. Effective July 1, 2009, the subsidies were eliminated for 49 of Connecticut’s 80 local health departments. The cuts were targeted to departments serving populations of 50,000 or less, with the expectation of increasing interest in consolidation and regionalization among small agencies. The Connecticut PBRN study investigates the effects of the cuts on local public health decision making concerning agency operations and service delivery. Specifically, the study tests whether the funding cuts motivated departments to explore consolidation, change their mix of programs and services, and pursue other funding sources

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David Gregorio, Ph.D.