Risk, politics, and money: the need for a value-based model for financing public health preparedness and response

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Authors
Pilkington, William F.
Subjects
public health preparedness
value-based decision-making
preparedness competencies
public health
local public health departments
Advisors
Josefek, Robert
Date of Issue
2014-12
Date
Dec-14
Publisher
Monterey, California: Naval Postgraduate School
Language
Abstract
Our federal, state, and local governments are not investing in the design and improvement of strategies for evaluating the costs associated with natural and man-made disasters and events. In this era of fiscal conservatism, one of the biggest challenges in designing and funding public health preparedness is deciding exactly how much to invest and determining the impact of those investments. This thesis developed a rigorous scientific model to evaluate the benefit of using value-based tools to enhance the effectiveness of public health preparedness programs. The key question that framed this research was: Are public health departments that use value-based decision-making more likely to demonstrate and document higher levels of preparedness competencies? Although this research failed to demonstrate a statistically significant relationship between preparedness competency and value-based decision-making, there were some findings to indicate that VBDM may be useful in decisions that determine the financing of public health preparedness. The ability to analytically demonstrate the benefit of public health preparedness might prove beneficial in attracting additional public funding as well as private funding.
Type
Thesis
Description
Series/Report No
Department
National Security Affairs
Organization
Identifiers
NPS Report Number
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Citation
Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
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