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Am J Public Health. 2001 April; 91(4): 611–617.
PMCID: PMC1446649

Privatization and the scope of public health: a national survey of local health department directors.

Abstract

OBJECTIVES: This study sought to obtain and analyze nationally representative data on (1) privatization of local health department services, (2) local health department directors' beliefs and perspectives on the desirable role and focus of health departments, and (3) the influence of these views on privatization practices. METHODS: A stratified representative national sample of 380 local health department directors was drawn, and 347 directors were interviewed by telephone. Logistic regression established the independent effects of various factors on decisions to privatize. RESULTS: Almost three quarters (73%) of the local health departments privatized public health services of some type. The 12% of the directors who believed that local health departments should be restricted to the core public health functions and move entirely out of direct provision of personal health care were more likely to privatize services. The 77% of the directors who believed that local health departments should be involved in an increasing array of social problems were more likely to privatize. CONCLUSIONS: Privatization has quietly and quickly become commonplace in public health, and privatization practices are intimately related to divergent conceptions of public health and the role of local health departments.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Koplin AN. The future of public health: a local health department view. J Public Health Policy. 1990 Winter;11(4):420–437. [PubMed]
  • Scutchfield FD, Hiltabiddle SE, Rawding N, Violante T. Compliance with the recommendations of the Institute of medicine report, The Future of Public Health: a survey of local health departments. J Public Health Policy. 1997;18(2):155–166. [PubMed]
  • Miller CA, Moore KS, Richards TB. The impact of critical events of the 1980s on core functions for a selected group of local health departments. Public Health Rep. 1993 Nov-Dec;108(6):695–700. [PMC free article] [PubMed]
  • Halverson PK, Miller CA, Kaluzny AD, Fried BJ, Schenck SE, Richards TB. Performing public health functions: the perceived contribution of public health and other community agencies. J Health Hum Serv Adm. 1996 Winter;18(3):288–303. [PubMed]
  • Miller CA, Moore KS, Richards TB, Monk JD. A proposed method for assessing the performance of local public health functions and practices. Am J Public Health. 1994 Nov;84(11):1743–1749. [PMC free article] [PubMed]
  • Turnock BJ, Handler A, Dyal WW, Christenson G, Vaughn EH, Rowitz L, Munson JW, Balderson T, Richards TB. Implementing and assessing organizational practices in local health departments. Public Health Rep. 1994 Jul-Aug;109(4):478–484. [PMC free article] [PubMed]
  • Handler AS, Turnock BJ, Hall W, Potsic S, Munson J, Nalluri R, Vaughn EH. A strategy for measuring local public health practice. Am J Prev Med. 1995 Nov-Dec;11(6 Suppl):29–35. [PubMed]
  • Suen J, Christenson GM, Cooper A, Taylor M. Analysis of the current status of public health practice in local health departments. Am J Prev Med. 1995 Nov-Dec;11(6 Suppl):51–54. [PubMed]
  • Studnicki J, Steverson B, Blais HN, Goley E, Richards TB, Thornton JN. Analyzing organizational practices in local health departments. Public Health Rep. 1994 Jul-Aug;109(4):485–490. [PMC free article] [PubMed]
  • Pratt M, McDonald S, Libbey P, Oberle M, Liang A. Local health departments in Washington State use APEX to assess capacity. Public Health Rep. 1996 Jan-Feb;111(1):87–91. [PMC free article] [PubMed]

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