The Effects of Cross-Jurisdictional Resource Sharing on the Implementation, Scope and Quality of Public Health Services

Year: 2014
Funding: Dissemination and Implementation Research to Improve Value Study (DIRECTIVE)
Status: Completed

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As public health entities increasingly explore cross-jurisdictional sharing (CJS) models to maximize reach, effectiveness, and efficiency in public health service delivery, it is important to develop the evidence base around what strategies work best. This Dissemination and Implementation Research to Improve Value (DIRECTIVE) project supports a consortium of the Connecticut and Massachusetts PBRNs in using a mixed methods approach to study the effects of cross-jurisdictional resource sharing on implementation of public health services with the intent to: 1) characterize effectiveness, volume, capacity and costs of implementing public health services in the areas of food inspection, enteric infection and obesity prevention; 2) assess the extent to which cross-jurisdictional service sharing arrangements affect implementation of local public health services; and 3) investigate how political priorities affect implementation of public health services.  Co-led by the Massachusetts Institute of Community Health and the Connecticut Association of Directors of Health, Inc., investigators will compare independent municipal health departments of similar population size and region who receive public health services under a comprehensive shared service delivery model. A bundle of services from each of the Multi-Network Practice Outcome Variation Examination (MPROVE) domains (i.e., environmental health, communicable disease, and chronic disease, respectively) will be examined to assess volume, capacity, and quality across delivery models. Methods developed from Connecticut's Delivery and Cost Study (DACS) project will be used to calculate the costs of services.


Research Areas