Centralized, decentralized, shared or mixed: What difference does governance of local health departments make?

Katie Sellers, DrPH, CPH1, Michael Meit, MA, MPH2, Jessica Kronstadt, MPP2, Rivka Liss-Levinson, PhD3, James A. Pearsol, M Ed1, Paul E. Jarris, MD4, Nikki Lawhorn, ScD, MPP5 and Alexa Brown, BS2
(1)Association of State and Territorial Health Officials, Arlington, VA, (2)NORC at the University of Chicago, Bethesda, MD, (3)Association of State and Territorial Health Officials (ASTHO), Arlington, VA, (4)The Association of State and Territorial Health Officials, Arlington, VA, (5)National Network of Public Health Institutes, New Orleans, LA