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首页> 外文期刊>Journal of public health management and practice: JPHMP >Estimating the financial resources needed for local public health departments in Minnesota: a multimethod approach.
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Estimating the financial resources needed for local public health departments in Minnesota: a multimethod approach.

机译：估算明尼苏达州地方公共卫生部门所需的财政资源：一种多方法方法。

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OBJECTIVE: This study presents a model for determining total funding needed for individual local health departments. The aim is to determine the financial resources needed to provide services for statewide local public health departments in Minnesota based on a gaps analysis done to estimate the funding needs. DESIGN: We used a multimethod analysis consisting of 3 approaches to estimate gaps in local public health funding consisting of (1) interviews of selected local public health leaders, (2) a Delphi panel, and (3) a Nominal Group Technique. On the basis of these 3 approaches, a consensus estimate of funding gaps was generated for statewide projections. SETTING: The study includes an analysis of cost, performance, and outcomes from 2005 to 2007 for all 87 local governmental health departments in Minnesota. PARTICIPANTS: For each of the methods, we selected a panel to represent a profile of Minnesota health departments. MAIN OUTCOME MEASURES: The 2 main outcome measures were local-level gaps in financial resources and total resources needed to provide public health services at the local level. RESULTS: The total public health expenditure in Minnesota for local governmental public health departments was Dollars 302 million in 2007 (Dollars 58.92 per person). The consensus estimate of the financial gaps in local public health departments indicates that an additional Dollars 32.5 million (a 10.7% increase or Dollars 6.32 per person) is needed to adequately serve public health needs in the local communities. CONCLUSIONS: It is possible to make informed estimates of funding gaps for public health activities on the basis of a combination of quantitative methods. There is a wide variation in public health expenditure at the local levels, and methods are needed to establish minimum baseline expenditure levels to adequately treat a population. The gaps analysis can be used by stakeholders to inform policy makers of the need for improved funding of the public health system.
机译：目的：本研究提出了一种确定各个地方卫生部门所需总资金的模型。目的是根据为估算资金需求而进行的差距分析，确定为明尼苏达州的州级地方公共卫生部门提供服务所需的财政资源。设计：我们使用了包括3种方法的多方法分析，以估计当地公共卫生资金的缺口，包括（1）对选定的当地公共卫生领导人的访谈，（2）Delphi小组和（3）名义组技术。在这三种方法的基础上，针对全州范围的预测得出了资金缺口的共识估计。地点：该研究包括对明尼苏达州所有87个地方政府卫生部门2005年至2007年的成本，绩效和结果的分析。参与者：对于每种方法，我们选择一个面板来代表明尼苏达州卫生部门的概况。主要成果衡量指标：2个主要成果衡量指标是地方一级的财政资源缺口和在地方一级提供公共卫生服务所需的总资源。结果：2007年，明尼苏达州地方政府公共卫生部门的公共卫生总支出为3.02亿美元（每人美元58.92）。对地方公共卫生部门财政缺口的共识估计表明，要充分满足当地社区的公共卫生需求，还需要3250万美元（增加10.7％，即每人6.32美元）。结论：有可能基于定量方法的组合，对公共卫生活动的资金缺口进行知情估计。地方一级的公共卫生支出差异很大，需要采取方法来确定最低的基线支出水平，以充分治疗人口。利益相关者可以使用差距分析来告知政策制定者需要改进公共卫生系统的资金。

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