不仅要多少,还要如何:在重新构想的公共卫生系统中实现资金流多样化的重要性。

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
J Mac McCullough, Umesh Ghimire, Jason M Orr, Sezan O Onal, Ashley Edmiston, Krishna Patel, Timothy C McCall, Jonathon P Leider
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引用次数: 0

摘要

收入多样化可能是转变公共卫生的一种协同战略,但目前几乎没有全国性或趋势性数据。本研究量化并确定了 COVID-19 大流行之前和期间公共卫生收入多样化的模式。我们使用全美县市卫生官员协会的《全国地方卫生部门概况》研究中 2013、2016、2019 和 2022 年的数据,计算出地方卫生部门的年度多元化指数。受访者的收入组合在 2016 年至 2022 年间变化不大。与多元化程度较低的地方卫生部门相比,多元化程度较高的部门的收入组合较为均衡,包括地方、州、联邦和临床收入来源,人均收入也较高。多元化程度较低的地方卫生部门则严重依赖地方来源,收入较低。COVID-19 期间加剧了这些差异,从 2019 年到 2022 年,多元化程度较低的部门的收入几乎没有增长。收入组合是公共卫生系统中一个未得到充分研究的方面,这项研究表明,一些组织可能因为没有多样化的收入组合而面临财务压力。从业人员有办法加强多元化,而政策方面也需要关注激励和支持收入多元化,以增强地方卫生部门的财务弹性和可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Not Only How Much But How: The Importance Of Diversifying Funding Streams In A Reimagined Public Health System.

Revenue diversification may be a synergistic strategy for transforming public health, yet few national or trend data are available. This study quantified and identified patterns in revenue diversification in public health before and during the COVID-19 pandemic. We used National Association of County and City Health Officials' National Profile of Local Health Departments study data for 2013, 2016, 2019, and 2022 to calculate a yearly diversification index for local health departments. Respondents' revenue portfolios changed fairly little between 2016 and 2022. Compared with less-diversified local health departments, well-diversified departments reported a balanced portfolio with local, state, federal, and clinical sources of revenue and higher per capita revenues. Less-diversified local health departments relied heavily on local sources and saw lower revenues. The COVID-19 period exacerbated these differences, with less-diversified departments seeing little revenue growth from 2019 to 2022. Revenue portfolios are an underexamined aspect of the public health system, and this study suggests that some organizations may be under financial strain by not having diverse revenue portfolios. Practitioners have ways of enhancing diversification, and policy attention is needed to incentivize and support revenue diversification to enhance the financial resilience and sustainability of local health departments.

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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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