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首页> 外文期刊>Journal of public health management and practice: JPHMP >Local health departments and specific maternal and child health expenditures: Relationships between spending and need
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Local health departments and specific maternal and child health expenditures: Relationships between spending and need

机译：地方卫生部门和特定的母婴健康支出：支出与需求之间的关系

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Objective: As a part of the Public Health Activities and Service Tracking study and in collaboration with partners in 2 Public Health Practice-Based Research Network states, we examined relationships between local health department (LHD) maternal and child health (MCH) expenditures and local needs. Design: We used a multivariate pooled time-series design to estimate ecologic associations between expenditures in 3 MCH-specific service areas and related measures of need from 2005 to 2010 while controlling for other factors. Measures: Retrospective expenditure data from LHDs and for 3 MCH services represented annual investments in (1) Special Supplemental Nutrition for Women, Infants, and Children (WIC), (2) family planning, and (3) a composite of Maternal, Infant, Child, and Adolescent (MICA) service. Expenditure data from all LHDs in Florida and Washington were then combined with "need" and control variables. Study Population:: Our sample consisted of the 102 LHDs in Florida and Washington and the county (or multicounty) jurisdictions they serve. Results : Expenditures for WIC and for our composite of MICA services were strongly associated with need among LHDs in the sample states. For WIC, this association was positive, and for MICA services, this association was negative. Family planning expenditures were weakly associated, in a positive direction. Conclusions : Findings demonstrate wide variations across programs and LHDs in relation to need and may underscore differences in how programs are funded. Programs with financial disbursements based on guidelines that factor in local needs may be better able to provide service as local needs grow than programs with less needs-based funding allocations.
机译：目标：作为公共卫生活动和服务跟踪研究的一部分，并与2个基于公共卫生实践的研究网络州的合作伙伴合作，我们研究了当地卫生部门（LHD）母婴健康（MCH）支出与当地卫生部门之间的关系需要。设计：我们采用多变量汇总时间序列设计，在控制其他因素的同时，估算了2005年至2010年3个特定于妇幼保健服务区的支出与相关需求量之间的生态联系。措施：来自LHD和3个MCH服务的回顾性支出数据表示对（1）妇女，婴儿和儿童特殊补充营养（WIC），（2）计划生育和（3）母婴，儿童和青少年（MICA）服务。然后，将佛罗里达州和华盛顿州所有LHD的支出数据与“需求”和控制变量进行组合。研究人群：我们的样本包括佛罗里达州和华盛顿州及其所服务的县（或多县）辖区的102个LHD。结果：WIC和我们的MICA服务组合的支出与样本州的LHD的需求密切相关。对于WIC，该关联为正，对于MICA服务，该关联为负。计划生育支出在一个积极的方向上联系较弱。结论：研究结果表明，各个计划和LHD在需求方面存在很大差异，并且可能突显了计划筹资方式的差异。与地方需求为基础的计划相比，随着地方需求的增长，根据当地需求的指导方针进行财务拨款的计划可能更能够提供服务。

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