Skip Navigation LinksHome > July/August 2012 - Volume 18 - Issue 4 > How Federalism Shapes Public Health Financing, Policy, and P...
Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e318241da71
Original Articles

How Federalism Shapes Public Health Financing, Policy, and Program Options

Ogden, Lydia L. PhD, MPP

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Abstract

In the United States, fiscal and functional federalism strongly shape public health policy and programs. Federalism has implications for public health practice: it molds financing and disbursement options, including funding formulas, which affect allocations and program goals, and shapes how funding decisions are operationalized in a political context. This article explores how American federalism, both fiscal and functional, structures public health funding, policy, and program options, investigating the effects of intergovernmental transfers on public health finance and programs.

© 2012 Lippincott Williams & Wilkins, Inc.

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