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Aligning Public Health Spending and Priorities in Oklahoma

Budetti, Peter P. MD, JD; Lapolla, Michael MHA

Journal of Public Health Management & Practice:
doi: 10.1097/01.PHH.0000316488.95629.7e
Commentary
Abstract

All-state fiscal year 2005 public health-related spending in the state of Oklahoma was investigated including funds from federal, state, and local sources expended through the state health department and the two autonomous metropolitan health departments.

Methodology: The cost finding and allocation methodology used a series of structured resource worksheets developed for this project that segregate public health department expenditures into six primary groups: disease and prevention; family health; community health; protective health; support and administrative services; and other. The six primary groups were further divided into 59 units and subunits. All financial data were provided directly by staff in the public health agencies working closely with project staff. The data were analyzed along three lines: (1) level of health department (state, metro, other local); (2) revenue source (federal, state, local); and (3) public health function (behaviors, health conditions, direct services, population health).

Results and conclusions: Public health officials may not have necessary information on the multiple sources and applications of revenue, categories of expense, operational control of resources, and the inherent restrictions upon the use of those resources. The study gave the city-county and state health officials a new and more complete picture of public health spending in Oklahoma, which catalyzed a dialogue between the commissioner and the directors to explore ways for local priorities to be incorporated into the direct state spending.

In Brief

• This study investigates all-state fiscal year 2005 public health-related spending in the State of Oklahoma, including funds from federal, state, and local sources expended through the State Health Department and the two autonomous metropolitan health departments.

Author Information

Peter P. Budetti, MD, JD, is the Edward E. and Helen T. Bartlett Foundation Professor of Public Health, and Chair, Department of Health Administration and Policy, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City and Tulsa.

Michael Lapolla, MHA, is Director, Center for Health Policy, and Lecturer, Department of Health Administration and Policy, University of Oklahoma College of Public Health, Tulsa.

Corresponding Author: Peter P. Budetti, MD, JD, Department of Health Administration and Policy, College of Public Health, University of Oklahoma Health Sciences Center, 801 NE 13th St, CHB 343A, Oklahoma City, OK 73104 (peter-budetti@ouhsc.edu).

The authors gratefully aknowledge the research assistance provided by Bina Patel, MPH. This article is based on the research funded by Oklahoma State Department of Health, Tulsa City-County Health Department, and Oklahoma City City-County Health Department.

© 2008 Lippincott Williams & Wilkins, Inc.