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Decision Science: A Scientific Approach to Enhance Public Health Budgeting

Honoré, Peggy A. DHA; Fos, Peter J. PhD, MPH; Smith, Torney MS; Riley, Michael BA; Kramarz, Kim BA

Journal of Public Health Management and Practice: March-April 2010 - Volume 16 - Issue 2 - p 98–103
doi: 10.1097/PHH.0b013e3181c87ace
Article

The allocation of resources for public health programming is a complicated and daunting responsibility. Financial decision-making processes within public health agencies are especially difficult when not supported with techniques for prioritizing and ranking alternatives. This article presents a case study of a decision analysis software model that was applied to the process of identifying funding priorities for public health services in the Spokane Regional Health District. Results on the use of this decision support system provide insights into how decision science models, which have been used for decades in business and industry, can be successfully applied to public health budgeting as a means of strengthening agency financial management processes.

This article presents a case study of a decision analysis software model that was applied to the process of identifying funding priorities for public health services in the Spokane Regional Health District.

Peggy A. Honoré, DHA, is Associate Professor, University of Southern Mississippi, Hattiesburg.

Peter J. Fos, PhD, MPH, is Provost and Executive Vice President for Academic Affairs, The University of Texas at Tyler, Tyler.

Torney Smith, MS, is Administrator, Spokane Regional Health District, Spokane, Washington.

Michael Riley, BA, is Comptroller, Spokane Regional Health District, Spokane, Washington.

Kim Kramarz, BA, is Accounting Manager, Spokane Regional Health District, Spokane, Washington.

Corresponding Author: Peggy A. Honoré, DHA, University of Southern Mississippi, Hattiesburg, MS 39406 (Peggy.Honore@hhs.gov).

This paper was developed with support from the Robert Wood Johnson Foundation through a program to advance the field of public health finance.

© 2010 Lippincott Williams & Wilkins, Inc.