Does Institutional Structure Effect Public Health Expenditures?

Robert J. Eger, Charles Kevin Fortner, Valerie A. Hepburn, Catherine P. Slade

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


This paper explores supply-side costs and institutional structure in a shared authority state public health system. It is found that in a shared governance public health system, intermediary district structure influences the movement of limited resources to serve populations and persons most in need. This early empirical test suggests that policy making and public administration concerning public health expenditures in a shared governance system are in a practical sense local, but decisions made at the intermediary level by regional district administration are an important influence on local public health expenditures.

Original languageEnglish (US)
Pages (from-to)136-147
Number of pages12
JournalPublic Budgeting and Finance
Issue number4
StatePublished - Dec 2011

ASJC Scopus subject areas

  • Finance
  • Economics and Econometrics
  • Public Administration


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