000			01374nam a22001457a 4500
999			_c525636 _d525636
008			240401b ||||| |||| 00| 0 eng d
100			_aNoh, Shihyun and Park, Ji Hyung _951478
245			_aContracting out and its outcomes in public health: A case of New York counties
260			_aAmerican Review of Public Administration
300			_a53(7-8), Oct-Nov, 2023: p.347-358
520			_aPrevious studies have reported a positive relationship between local government spending and health outcomes. However, there is limited scholarly research on how the different policy tools used for delivering public health services affect the health of local residents. This study adopted a comprehensive model, widely utilized in health policy and management research, to control for health behaviors, socioeconomic factors, physical environment, and clinical care. It provides evidence that a county with higher health spending through contracting has a higher health ranking among New York counties, indicating that service provision arrangements affect health outcomes. Thus, county efforts to improve health outcomes should consider the effects of differing service delivery arrangements. – Reproduced https://journals.sagepub.com/doi/full/10.1177/02750740231185844
773			_aAmerican Review of Public Administration
906			_aPUBLIC HEALTH
942			_cAR