142nd APHA Annual Meeting and Exposition

Home Events & Meetings Annual Meeting Schedule & Program

Online Program

Annual Meeting Recordings are now available for purchase

302533
Developing a funding allocation model for STI services using population data

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Lori Bilello, PhD, MBA, MHS , Center for Health Equity and Quality Research, University of Florida College of Medicine - Jacksonville, Jacksonville, FL
Sexually transmitted infections (STI) continue to be a major problem in Florida; however, STI funding has been decreasing the last five years. County Health Department (CHD) revenue sources for STI services vary not only with county population and infection rates but with the specific sources of revenue including county, state and federal support which can influence how health departments respond to disease control. The study objective is to identify the costs of delivering STI services for priority populations and developing a funding allocation method to adequately address county needs.

Study Design/Results: This retrospective analysis included 2012 data for all Florida counties to examine factors influencing STI services expenditures. Data included both CHD revenues and expenditures for STI services; disease counts and rates by county; demographic and income data by county. Models examined the effect of county level factors such as STI rate/100,000 population, population density/square mile, population with income below 200% FPL, total CHD revenue per capita, CHD county tax revenue per capita, percent of population ≤ 24 years old, and percent black/other population on CHD STI expenditure per case. General linear regression models were performed using the best subset selection method based on the R-square statistic. The analysis showed two variables were marginally significant in the model: county STI rate (β=-0.21, p=0.063) and CHD county tax revenue per capita (β=13.20, p=0.055).

Implications: We found a wide variability in STI rates and costs for services across the state with more rural counties having the highest STI rates and lowest funding. Local tax funding for CHDs is statistically linked to higher CHD STI expenditure per case but is not used in the state methodology for allocating state and federal funds. By examining the population rates and all types of CHD funding support, STI funding can be more equitably distributed to CHDs.

Learning Areas:

Protection of the public in relation to communicable diseases including prevention or control
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Analyze county STI data for priority populations and assess county resources to address these needs.

Keyword(s): STDs/STI, Funding/Financing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently a research assistant professor who provides administrative and research support to the state of Florida Public Health Practive Based Research Network (PBRN) and project director for a statewide STI cost analysis. Previously, I have been the administrator of STI outreach programs - both publicly funded and privately funded initiatives for over 6 years and have worked closely with public health and private providers to provide testing services to high risk populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3040.0: Health administration round table: Innovations in health administration