Separation and Integration in Public Health: Evidence from Organizational Structure in the States

Journal of Public Administration Research and Theory. 23(1):55-77.

Posted: 2 Aug 2006 Last revised: 20 Jan 2015

See all articles by Andrew B. Whitford

Andrew B. Whitford

University of Georgia - Department of Public Administration and Policy

Amber H. Sinclair

University of Georgia - Department of Public Administration and Policy

Date Written: 2013

Abstract

Numerous recent studies contend that public health agencies in the U.S. are in a state of turmoil because their organizational form causes them to take on conflicting mandates. One reason is the tradeoff in design between creating stand-alone agencies for health and environment, and creating super agencies that combine the two. Using data on the organizational form of state health and environmental agencies, we assess the choice of organizational form as a problem of institutional design and employ statistical models intended to uncover the roots of these choices. Our results suggest that historical development and latent community factors can help explain the choice of combined or independent agencies. We believe that this case provides useful information about the roots of organizational design for resolving competing demands, and provides insight into concerns about the delivery of health and environmental protection in the states.

Keywords: Organizational design, public health, environmental health

JEL Classification: H11, I18

Suggested Citation

Whitford, Andrew B. and Sinclair, Amber H., Separation and Integration in Public Health: Evidence from Organizational Structure in the States (2013). Journal of Public Administration Research and Theory. 23(1):55-77. , Available at SSRN: https://ssrn.com/abstract=921603 or http://dx.doi.org/10.2139/ssrn.921603

Andrew B. Whitford (Contact Author)

University of Georgia - Department of Public Administration and Policy ( email )

Athens, GA 30602
United States
706-542-2898 (Phone)
706-583-0610 (Fax)

HOME PAGE: http://andrewwhitford.com

Amber H. Sinclair

University of Georgia - Department of Public Administration and Policy ( email )

Athens, GA 30602
United States

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