Title of Presentation or Performance

Fiscal Resilience of Local Health Departments

Major

Nursing, BSN

Submission Type

Poster

Area of Study or Work

Nursing, Health

Expected Graduation Date

2024

Location

CNS Atrium, Easel 21

Start Date

4-15-2023 9:00 AM

End Date

4-15-2023 10:15 AM

Abstract

Objective: In this systematic review we describe different characteristics of Local Public Health Departments that lead to resilience or hardiness surviving in times of economic crisis. Numerous characteristics were compared and evaluated taking into account different departments' experiences which lead them to be more or less financial resilient over time. This examination identified commonalities of more fiscally resilient Local Health Departments which will help improve the functioning of our nation’s public health system overall.

Design: This literature review was performed using the Preferred Reporting Items for Systematic Reviews and Analyses (PRISMA) guidelines for systematic reviews and meta-analyses.

Data Sources: The Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Google Scholar were searched using key terms and phrases. Eleven articles, all of which were published between 2003 and 2023, met the inclusion criteria.

Results: Cross-training, increasing workload on existing staff, and identifying other providers in the community for referrals were associated with higher levels of Local Health Department resilience during economic hardship. Local Health Departments with fewer funding streams, lower percentages of revenue from non-local sources, and lack of support from state and federal levels of government were commonalities seen among Local Health Departments identified as being less resilient during times of economic hardship.

Conclusion: This systematic review will supply Public Health Departments in the United States with guided knowledge on how to strive during times of economic downfall. This may be particularly useful for future Public Health Workers with job security when trying to receive additional funding from varied sources, such as the federal government and external public and private benefactors. This review additionally can have policy implications by federal and state governments when determining Public Health Department funding allocations during times of economic hardship.

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Apr 15th, 9:00 AM Apr 15th, 10:15 AM

Fiscal Resilience of Local Health Departments

CNS Atrium, Easel 21

Objective: In this systematic review we describe different characteristics of Local Public Health Departments that lead to resilience or hardiness surviving in times of economic crisis. Numerous characteristics were compared and evaluated taking into account different departments' experiences which lead them to be more or less financial resilient over time. This examination identified commonalities of more fiscally resilient Local Health Departments which will help improve the functioning of our nation’s public health system overall.

Design: This literature review was performed using the Preferred Reporting Items for Systematic Reviews and Analyses (PRISMA) guidelines for systematic reviews and meta-analyses.

Data Sources: The Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Google Scholar were searched using key terms and phrases. Eleven articles, all of which were published between 2003 and 2023, met the inclusion criteria.

Results: Cross-training, increasing workload on existing staff, and identifying other providers in the community for referrals were associated with higher levels of Local Health Department resilience during economic hardship. Local Health Departments with fewer funding streams, lower percentages of revenue from non-local sources, and lack of support from state and federal levels of government were commonalities seen among Local Health Departments identified as being less resilient during times of economic hardship.

Conclusion: This systematic review will supply Public Health Departments in the United States with guided knowledge on how to strive during times of economic downfall. This may be particularly useful for future Public Health Workers with job security when trying to receive additional funding from varied sources, such as the federal government and external public and private benefactors. This review additionally can have policy implications by federal and state governments when determining Public Health Department funding allocations during times of economic hardship.