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Does Institutional Structure Effect Public Health Expenditures?
Author(s) -
EGER ROBERT J.,
FORTNER CHARLES KEVIN,
HEPBURN VALERIE A.,
SLADE CATHERINE P.
Publication year - 2011
Publication title -
public budgeting and finance
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.694
H-Index - 30
eISSN - 1540-5850
pISSN - 0275-1100
DOI - 10.1111/j.1540-5850.2011.00996.x
Subject(s) - corporate governance , business , public health , public economics , state (computer science) , test (biology) , administration (probate law) , public administration , economics , political science , finance , medicine , paleontology , nursing , algorithm , computer science , law , biology
This paper explores supply‐side costs and institutional structure in a shared authority state public health system. It is found that in a shared governance public health system, intermediary district structure influences the movement of limited resources to serve populations and persons most in need. This early empirical test suggests that policy making and public administration concerning public health expenditures in a shared governance system are in a practical sense local, but decisions made at the intermediary level by regional district administration are an important influence on local public health expenditures.