Integration of Health and Social Services at the Systems Level
A Framework for Addressing Funding and Jurisdictional Silos
Bibliographic Data
Objectives. To examine spending and resource allocation decision-making to address health and social service integration challenges within and between governments. Methods. We performed a mixed methods case study to examine the integration of health and social services in a large US metropolitan area, including a city and a county government. Analyses incorporated annual budget data from the city and the county from 2009 to 2018 and semistructured interviews with 41 key leaders, including directors, deputies, or finance officers from all health care–, health-, or social service–oriented city and county agencies; lead budget and finance managers; and city and county executive offices. Results. Participants viewed public health and social services as qualitatively important, although together these constituted only $157 or $1250 total per capita spending in 2018, and per capita public health spending has declined since 2009. Funding streams can be siloed and budget approaches can facilitate or impede service integration. Conclusions. Health and social services should be integrated through greater attention to the budgetary, jurisdictional, and programmatic realities of health and social service agencies and to the budget models used for driving the systems-level pursuit of population health
Business · Economic growth · Economics · Environmental health · Government (linguistics) · Health care · Metropolitan area · Per capita · Population · Population health · Public health · Social determinants of health · Finance · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Public Health Policies and Education · Health Policy · Social Work
Analyzing Biographies and Narratives
Cross-sector Service Provision in Health and Social Care
Rescaling the Balanced Scorecard for Local Government
Public Health 3.0
Public Managers in Integrated Services Collaboratives
Measuring Accountability for Results in Interagency Collaboratives
Human Services Integration
What's New about the New Public Management? Administrative Change in the Human Services
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,6 |
| Citation span | 2021 - 2024 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |